MEDICARE: MRS. MARY MARTIN CATEL MSPT

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	225100000X	Physical Therapist	7420	CO
2	2251E1200X	Ergonomics Physical Therapist	7420	CO
3	2251G0304X	Geriatric Physical Therapist	7420	CO
4	2251X0800X	Orthopedic Physical Therapist	7420	CO

General Provider Information

NPI Number	:	1871922070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY MARTIN CATEL MSPT

Provider Business Mailing Address
First Line	:	1907 S WASHINGTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-4044
Country	:	US
Telephone Number	:	303-908-5406
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 S WASHINGTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-4044
Country	:	US
Telephone Number	:	303-908-5406
Fax Number	:

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

Provider Enumeration Date	:	11/07/2013
Last Update Date	:	11/07/2013

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