Provider Demographics
NPI:1194026716
Name:MCGATHEY, REGINA (LMT)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:MCGATHEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 BRET HARTE AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-2613
Mailing Address - Country:US
Mailing Address - Phone:775-530-6533
Mailing Address - Fax:775-384-3225
Practice Address - Street 1:303 BRET HARTE AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-2613
Practice Address - Country:US
Practice Address - Phone:775-530-6533
Practice Address - Fax:775-384-3225
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVMT 4256225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist