Provider Demographics
NPI:1225616998
Name:FELT, CATHERINE TERESSA (FNLP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:TERESSA
Last Name:FELT
Suffix:
Gender:F
Credentials:FNLP
Other - Prefix:
Other - First Name:TEESA
Other - Middle Name:
Other - Last Name:FELT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNLP
Mailing Address - Street 1:61237 KING ZEDEKIAH AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-2807
Mailing Address - Country:US
Mailing Address - Phone:775-560-6640
Mailing Address - Fax:
Practice Address - Street 1:61237 KING ZEDEKIAH AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-2807
Practice Address - Country:US
Practice Address - Phone:775-560-6640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator