Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Kathleen Waterman, CTRS

Individual provider Recreation Therapist · NPI 1467114256

Mary Kathleen Waterman, CTRS is a Recreation Therapist in Martinez, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

150 Muir Rd
Martinez, CA 94553-4668
Phone: (916) 216-5457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 32888 (CA)

Record details

NPI number1467114256
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedOctober 8, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021

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