Provider Demographics
NPI:1306624937
Name:MCMASTER, CAITLIN MAUREEN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MAUREEN
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2062
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-2031
Mailing Address - Country:US
Mailing Address - Phone:970-412-3369
Mailing Address - Fax:
Practice Address - Street 1:906 CR 6
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:CO
Practice Address - Zip Code:80420
Practice Address - Country:US
Practice Address - Phone:970-412-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0006768225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist