Provider Demographics
NPI:1265026389
Name:MCVEY, KATE (MMP,CMT,CES)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:MCVEY
Suffix:
Gender:F
Credentials:MMP,CMT,CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6013 ROCKROSE LN
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-5639
Mailing Address - Country:US
Mailing Address - Phone:509-591-1330
Mailing Address - Fax:
Practice Address - Street 1:7007 BURDEN BLVD STE 104
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9185
Practice Address - Country:US
Practice Address - Phone:509-543-1123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71756225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty