Provider Demographics
NPI:1114207487
Name:BEYER, KATHARINE LEE (CMT)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:LEE
Last Name:BEYER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 GRANT ST
Mailing Address - Street 2:721
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4421
Mailing Address - Country:US
Mailing Address - Phone:720-878-1717
Mailing Address - Fax:
Practice Address - Street 1:600 GRANT ST
Practice Address - Street 2:350
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3524
Practice Address - Country:US
Practice Address - Phone:720-287-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12183225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist