Marcus Dean Atkinson, LMP
Individual provider Active NPI Massage Therapist · Kingston, WA
NPI 1104161900 · NPPES record last updated Dec 5, 2012
Key facts
- NPI
- 1104161900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60282004 (WA)
- Practice address
- 8202 NE Hwy 104
Ste 105
Kingston, WA 98346 - Phone
- (360) 860-1165
- NPI assigned
- Dec 5, 2012
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60282004 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60282004 | WA | Yes |
Addresses
Primary practice location
8202 NE Hwy 104
Ste 105
Kingston, WA 98346
Mailing address
24430 Madura Dr NE
Kingston, WA 98346-9221
Phone (360) 860-1165
Other providers in Kingston, WA
- Sara Senske Abell
- Albertsons LLC
- Diana Lynn Allen
- Anchor Chiropractic, PLLC
- Janet Louise Anspach-Rickey
- Sara Mia Beckstrom
- Dayna Rose Benefield
- Ann C Best
- Holly A Blanton
- Eldon Garrett Bloch
All providers in Kingston, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2012. 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.