Provider Demographics
NPI:1154505584
Name:CUTTS, KATHERINE ELAINE (CMT)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ELAINE
Last Name:CUTTS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELAINE
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN MESA
Mailing Address - State:CA
Mailing Address - Zip Code:93240-0188
Mailing Address - Country:US
Mailing Address - Phone:760-379-4267
Mailing Address - Fax:
Practice Address - Street 1:12308 MOUNTAIN MESA ROAD
Practice Address - Street 2:B
Practice Address - City:MOUNTAIN MESA
Practice Address - State:CA
Practice Address - Zip Code:93240-0188
Practice Address - Country:US
Practice Address - Phone:760-379-4267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist