MEDICARE: KATIE ANNE HARRISON LMT CST

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	172M00000X	Mechanotherapist	2006037797	CA

General Provider Information

NPI Number	:	1023284908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE ANNE HARRISON LMT CST

Provider Business Mailing Address
First Line	:	1171 NOTTAWAY DR
Second Line	:
City	:	SO LAKE TAHOE
State	:	CA
Zip	:	96150
Country	:	US
Telephone Number	:	530-908-7718
Fax Number	:	530-577-4030

Provider Business Practice Location Address
First Line	:	1171 NOTTAWAY DR
Second Line	:
City	:	SO LAKE TAHOE
State	:	CA
Zip	:	96150
Country	:	US
Telephone Number	:	530-908-7718
Fax Number	:	530-577-4030

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

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	05/01/2008

Similar Medicare Providers

1336105626 — MICHAEL PATRICK SULLIVAN MD
Practice Location Address:

2101 SOUTH AVE
SO LAKE TAHOE, CA
96150

Practice Phone: 530-542-5744
Practice Fax: 530-542-5747

1811906597 — DR. RICHARD JOSEPH BECK OD
Practice Location Address:

2074 LAKE TAHOE BLVD , SUITE 2
SO LAKE TAHOE, CA
96150

Practice Phone: 530-541-2030
Practice Fax: 530-541-3947

1902989585 — MICHAEL CHARLES LIPKIN DC
Practice Location Address:

2877 LAKE TAHOE BLVD , SUITE B
SO LAKE TAHOE, CA
96150

Practice Phone: 530-544-8495
Practice Fax: 530-544-5306

1831252808 — LAKE TAHOE EYE CARE OPTOMETRY INC
Practice Location Address:

2074 LAKE TAHOE BLVD , SUITE 2
SO LAKE TAHOE, CA
96150-6408

Practice Phone: 530-541-2030
Practice Fax: 530-541-3947

1184780173 — DR. HOLLY L COOK D.D.S.
Practice Location Address:

2229 BARTON AVE
SO. LAKE TAHOE, CA
96150-3411

Practice Phone: 530-541-7862
Practice Fax: 530-541-7863

1659704583 — STEVEN J. MCNAMARA MD
Practice Location Address:

2170 SOUTH AVENUE
SO LAKE TAHOE, CA
96150-7026

Practice Phone: 530-541-3420
Practice Fax:

Directions to “ KATIE ANNE HARRISON LMT CST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.