Provider Demographics
NPI:1417590332
Name:ALTHEA GATTO
Entity Type:Organization
Organization Name:ALTHEA GATTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALTHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-772-1914
Mailing Address - Street 1:236 LILIUOKALANI AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3512
Mailing Address - Country:US
Mailing Address - Phone:808-772-1914
Mailing Address - Fax:808-748-2939
Practice Address - Street 1:236 LILIUOKALANI AVE APT 102
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3512
Practice Address - Country:US
Practice Address - Phone:808-772-1914
Practice Address - Fax:808-748-2939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty