National Provider Identifier
Caitlin J Damoth
Caitlin J Damoth is listed in the NPPES registry with a primary specialty of Massage Therapist in Phelps, NY and a listed phone number of (315) 651-7602.
Profile Overview
- NPI
- 1710780176
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 31, 2025
- Last Updated
- March 31, 2025
Practice Location
- 116 Main St
- Phelps, NY 14532-1017
Phone: (315) 651-7602
Mailing Address
- 1826 Powderly RD
- Waterloo, NY 13165-9416
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1710780176
- Entity Type
- Individual
- Last Name
- Damoth
- First Name
- Caitlin
- Middle Name
- J
- Mailing Street Address
- 1826 Powderly RD
- Mailing City
- Waterloo
- Mailing State
- NY
- Mailing ZIP Code
- 13165-9416
- Mailing Country
- US
- Practice Street Address
- 116 Main St
- Practice City
- Phelps
- Practice State
- NY
- Practice ZIP Code
- 14532-1017
- Practice Country
- US
- Practice Phone
- (315) 651-7602
- Enumeration Date
- March 31, 2025
- Last Updated
- March 31, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 31, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)