Makina Itchkavich-Levasseur, MS, ATC, LAT
Individual provider Active NPI Athletic Trainer · Rindge, NH
NPI 1003422809 · NPPES record last updated Sep 17, 2020
Key facts
- NPI
- 1003422809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0686 (NH)
- Practice address
- 40 University Dr
Rindge, NH 03461-5045 - Phone
- (603) 899-1142
- NPI assigned
- Sep 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0686 | NH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0686 | NH | Yes |
Addresses
Primary practice location
40 University Dr
Rindge, NH 03461-5045
Mailing address
223 Bancroft Rd
Rindge, NH 03461-5906
Phone (603) 630-1166
Other providers in Rindge, NH
- Kimberly M Favart
- John Gallant
- Hannaford Bros Co LLC
- Heidi Lynn Hollenbeck
- Christopher R Hudson
- Liane Elisabeth Jablonski
- Jennifer a Charland DMD PLLC
- Samantha Johnson
- Breanna I Kender
- Colby Lamson
All providers in Rindge, NH · Athletic Trainer in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.