Provider Demographics
NPI:1629226014
Name:CATES, LESLIE L (LMT, CNMT)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:L
Last Name:CATES
Suffix:
Gender:F
Credentials:LMT, CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 N ELIZABETH ST
Mailing Address - Street 2:SUITE # B
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-2158
Mailing Address - Country:US
Mailing Address - Phone:719-544-3201
Mailing Address - Fax:719-544-3201
Practice Address - Street 1:1401 N ELIZABETH ST
Practice Address - Street 2:SUITE # B
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-2158
Practice Address - Country:US
Practice Address - Phone:719-544-3201
Practice Address - Fax:719-544-3201
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist