Provider Demographics
NPI:1942529110
Name:CATES, PAULA C (CMT)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:C
Last Name:CATES
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 W ALAMEDA AVE STE 110-C
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3088
Mailing Address - Country:US
Mailing Address - Phone:303-249-3279
Mailing Address - Fax:
Practice Address - Street 1:8015 W ALAMEDA AVE
Practice Address - Street 2:STE 110-C
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3041
Practice Address - Country:US
Practice Address - Phone:303-249-3279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4075171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor