Marissa Howk
Individual provider Active NPI Athletic Trainer · California, PA
NPI 1205288016 · NPPES record last updated Jul 5, 2016
Key facts
- NPI
- 1205288016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 128 Ash St
Apt 3
California, PA 15419-2004 - Phone
- (301) 653-4979
- NPI assigned
- Jul 5, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
128 Ash St
Apt 3
California, PA 15419-2004
Mailing address
4607 Waterview CT Unit 8
JB Andrews, MD 20762-5351
Phone (301) 653-4979
Other providers in California, PA
- Chris Tina Harman
- Denise Rae Holt
- Jeanne Marie Holzapfel
- James Paul Hoover Jr.
- Joseph Nick Horvath
- Toshimitsu Ishizuka
- Jordan Jacobs
- Sophia Laurren Johnson
- Jessica Kissel
- Dynasty Laprade
All providers in California, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2016. 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.