Kathryn Cueva, MT
Individual provider Active NPI Massage Therapist · Eagle, CO
NPI 1972055499 · NPPES record last updated Nov 1, 2016
Key facts
- NPI
- 1972055499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT.0012533 (CO)
- Practice address
- 200 Capitol St
Eagle, CO 81631 - Phone
- (512) 415-8537
- NPI assigned
- Nov 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0012533 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Balance Bliss | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0012533 | CO | Yes |
Addresses
Primary practice location
200 Capitol St
Eagle, CO 81631
Mailing address
PO Box 6944
Avon, CO 81620-6944
Phone (512) 415-8537
Other providers in Eagle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2016. 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.