Provider Demographics
NPI:1487081212
Name:GATLEY, CATHERINE MCLEOD (LAC MAC DIPLAC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MCLEOD
Last Name:GATLEY
Suffix:
Gender:F
Credentials:LAC MAC DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7916 NIWOT RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:NIWOT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-7181
Mailing Address - Country:US
Mailing Address - Phone:720-445-0175
Mailing Address - Fax:
Practice Address - Street 1:7916 NIWOT RD
Practice Address - Street 2:SUITE 216
Practice Address - City:NIWOT
Practice Address - State:CO
Practice Address - Zip Code:80503-7181
Practice Address - Country:US
Practice Address - Phone:720-445-0175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001830171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist