Provider Demographics
NPI:1750123238
Name:CAHN-TEMES, SAMUEL JOSHUA (LMT)
Entity type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:JOSHUA
Last Name:CAHN-TEMES
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15317 MAIN ST E APT 103
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-2856
Mailing Address - Country:US
Mailing Address - Phone:310-994-4474
Mailing Address - Fax:
Practice Address - Street 1:18111 131ST ST E
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-7696
Practice Address - Country:US
Practice Address - Phone:310-994-4474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61150300225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist