Molly Katherine Theriault
Individual provider Active NPI Health & Wellness Coach · Cloverdale, CA
NPI 1851273007 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1851273007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 548 N Cloverdale Blvd
Cloverdale, CA 95425-3325 - Phone
- (707) 318-1212
- NPI assigned
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | CA | Yes |
Addresses
Primary practice location
548 N Cloverdale Blvd
Cloverdale, CA 95425-3325
Mailing address
548 N Cloverdale Blvd
Cloverdale, CA 95425-3325
Phone (707) 318-1212
Other providers in Cloverdale, CA
- Ronald D Schuster
- Rowena Daniell Sparks
- Sharon Kay Stevens
- Gloria Patricia Stewart
- Christiane M Swartz
- Amanda Ward
- Beverly D. Westenberg
- Elizabeth Adrienne Willis
- Joanne Willis
- James David Wood Jr.
All providers in Cloverdale, CA · Health & Wellness Coach in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. 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.