MEDICARE: MRS. HEATHER CHRISTINE CATHERS RD

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	133V00000X	Registered Dietitian	00931625	CO

General Provider Information

NPI Number	:	1265609804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER CHRISTINE CATHERS RD

Provider Business Mailing Address
First Line	:	1780 S BELLAIRE ST STE 407
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4323
Country	:	US
Telephone Number	:	303-514-9894
Fax Number	:	303-756-0286

Provider Business Practice Location Address
First Line	:	1780 S BELLAIRE ST STE 407
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4323
Country	:	US
Telephone Number	:	303-514-9894
Fax Number	:	303-756-0286

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

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	05/13/2008

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