MEDICARE: MR. ROBERT E. MCATEE LMT, BCTMB

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	225700000X	Massage Therapist	0000995	CO

General Provider Information

NPI Number	:	1699831925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT E. MCATEE LMT, BCTMB

Provider Business Mailing Address
First Line	:	1119 N WAHSATCH AVE STE 1
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-2485
Country	:	US
Telephone Number	:	719-641-8987
Fax Number	:

Provider Business Practice Location Address
First Line	:	1119 N WAHSATCH AVE
Second Line	:	SUITE 1
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-9552
Country	:	US
Telephone Number	:	719-475-1172
Fax Number	:	719-475-1172

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

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	03/27/2024

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