Individual provider · Type 1 NPI

Shajan Joseph Kanacheril

Massage Therapist · Olympia, WA

NPI number 1629589965 Active

Practice location

4001 Capital Mall Dr SW
Olympia, WA 98502-8657

Call (360) 754-9792 Map

Mailing address

610 Milroy St NW
Olympia, WA 98502-4742

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XP160783235 (WA)
Massage Therapist Primary 225700000XMA61396888 (WA)

Massage Therapist: 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.

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About NPI 1629589965

Shajan Joseph Kanacheril's National Provider Identifier is 1629589965, issued on Oct 13, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Apr 2, 2024.