Provider Demographics
NPI:1831150978
Name:RHOADS, CATHERINE MICHELLE (LMT)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MICHELLE
Last Name:RHOADS
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 1:18 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-1420
Mailing Address - Country:US
Mailing Address - Phone:585-749-6915
Mailing Address - Fax:
Practice Address - Street 1:109 LAKE AVE
Practice Address - Street 2:
Practice Address - City:HILTON
Practice Address - State:NY
Practice Address - Zip Code:14468-1198
Practice Address - Country:US
Practice Address - Phone:585-392-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013232-01225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY109845GGOtherPREFERRED CARE