Katelyn Carson, CMT
Individual provider Active NPI Massage Therapist · Soquel, CA
NPI 1669951224 · NPPES record last updated Aug 14, 2018
Key facts
- NPI
- 1669951224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 3601 Caldwell Dr
Soquel, CA 95073-2055 - Phone
- (831) 576-3000
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emeryville Occupational Medical Center | Past | Accepting new patients | |
| Agile Occupational Medicine, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | CA | Yes |
Addresses
Primary practice location
3601 Caldwell Dr
Soquel, CA 95073-2055
Mailing address
2248 Capitola Rd Apt D
Santa Cruz, CA 95062-3143
Phone (530) 575-2791
Other practice location 1
2248 Capitola Rd Apt D
Santa Cruz, CA 95062-3143
Phone (530) 575-2791
Other providers in Soquel, CA
- Lorraine Susan Cahn
- Lawrence Calderon
- Victoria A Campbell
- Eric R Carlblom
- Michelle Katsky Caron
- Eileen Wheeler Cavalier
- Center for Youth Mental Health
- Central Coast Gastroenterology Associates Inc
- Vasavi Reddy Chinnam
- Jennifer J Choate
All providers in Soquel, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.