MEDICARE: ANGELA CATES DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	8390	AZ
2	225100000X	Physical Therapist	17158	MA

General Provider Information

NPI Number	:	1205953056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA CATES DPT

Provider Business Mailing Address
First Line	:	3175 ELUA ST STE A
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-1203
Country	:	US
Telephone Number	:	808-378-4748
Fax Number	:

Provider Business Practice Location Address
First Line	:	3175 ELUA ST STE A
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-1203
Country	:	US
Telephone Number	:	808-378-4748
Fax Number	:	520-296-0075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	06/21/2021

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Directions to “ ANGELA CATES DPT” Practice Location

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