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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMELIA KATHLEEN CANCILLA, DTTAC LIFESTYLE COAC

Active Sole Proprietor

AMELIA KATHLEEN CANCILLA, DTTAC LIFESTYLE COAC is a Health Educator healthcare provider located in JOHN DAY, Oregon. NPI 1669960530 is currently active in the NPPES registry. Verify at CMS.

Health Educator · JOHN DAY, OR

Registration Details

NPI Number
1669960530
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2018 (8.3119873262091 yrs)
Last Updated
Apr 26, 2018
Sole Proprietor
Yes

Practice Information

Address
528 E MAIN ST STE E
JOHN DAY, OR, 978451289
Browse OR providers · Browse ZIP 97845
Phone
5415750429
Primary Specialty
Health Educator
174H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.