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Contact Information

SHATAVIA R CAGLE
1900 WILLIAM ST
CAPE GIRARDEAU, MO63703-5950
 Phone: 573-730-2468
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
 

Health Educator

174H00000X
 

Meals

174200000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHATAVIA R CAGLE · (Female)

NPI Number 1497584486
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2024
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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