Healthcare Provider Details

I. General information

NPI: 1790629533
Provider Name (Legal Business Name): MAUREEN CATTELL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 BECKLEY CROSSING SHPG CTR
BECKLEY WV
25801-7109
US

IV. Provider business mailing address

24752 TURNPIKE RD
BELVA WV
26656-4046
US

V. Phone/Fax

Practice location:
  • Phone: 203-957-2566
  • Fax:
Mailing address:
  • Phone: 203-957-2566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2026-4276
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: