SHAJAN JOSEPH KANACHERIL NPI 1629589965

NPI Information

NPI: 1629589965
Provider Name: SHAJAN JOSEPH KANACHERIL
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4001 CAPITAL MALL DR SW
OLYMPIA, WA
ZIP 98502
Phone: (360) 754-9792
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Shajan Joseph Kanacheril is a massage therapist in Olympia, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Shajan Joseph Kanacheril NPI is 1629589965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4001 CAPITAL MALL DR SW
OLYMPIA, WA
ZIP 98502-657
Phone: (360) 754-9792

The enumeration date for this NPI number is 10/13/2017 and was last updated on 4/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225200000X	Physical Therapy Assistant		P160783235	WASHINGTON	No
2	225700000X	Massage Therapist		MA61396888	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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