Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shajan Joseph Kanacheril

Individual provider Physical Therapy Assistant · NPI 1629589965

Shajan Joseph Kanacheril is a Physical Therapy Assistant in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4001 Capital Mall Dr SW
Olympia, WA 98502-8657
Phone: (360) 754-9792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA61396888 (WA)
Physical Therapy Assistant Taxonomy 225200000X · Licence P160783235 (WA)

Record details

NPI number1629589965
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2017
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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