MEDICARE: CATHERINE WHITE P.T.A., C.M.T., LLCC

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	225700000X	Massage Therapist
2	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1134540487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE WHITE P.T.A., C.M.T., LLCC

Provider Business Mailing Address
First Line	:	1330 S POTOMAC ST
Second Line	:	STE #100
City	:	AURORA
State	:	CO
Zip	:	80012-4527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 S POTOMAC ST
Second Line	:	STE #100
City	:	AURORA
State	:	CO
Zip	:	80012-4527
Country	:	US
Telephone Number	:	303-745-0803
Fax Number	:

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

Provider Enumeration Date	:	01/03/2014
Last Update Date	:	05/17/2016

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