Healthcare Provider Details

I. General information

NPI: 1699831925
Provider Name (Legal Business Name): ROBERT E. MCATEE LMT, BCTMB
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 N WAHSATCH AVE SUITE 1
COLORADO SPRINGS CO
80903-9552
US

IV. Provider business mailing address

1119 N WAHSATCH AVE STE 1
COLORADO SPRINGS CO
80903-2485
US

V. Phone/Fax

Practice location:
  • Phone: 719-475-1172
  • Fax: 719-475-1172
Mailing address:
  • Phone: 719-641-8987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0000995
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: