Provider Demographics
NPI:1588481915
Name:RATTO, CAROL MARIE (CMT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:MARIE
Last Name:RATTO
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 1:125 RAINBOW ROCK RD
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-7823
Mailing Address - Country:US
Mailing Address - Phone:415-244-5701
Mailing Address - Fax:
Practice Address - Street 1:40 BELL ROCK PLZ STE H
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-8804
Practice Address - Country:US
Practice Address - Phone:415-244-5701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-27612225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist