Mackenzie Leigh Marques, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

61070321 Issued in WA

Practice address

12 Seahawks Way
Renton, WA 98056-1572

Phone

(425) 443-4120

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1255807319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SEAHAWKS WAY",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980561572",
            "telephone_number": "425-443-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SEAHAWKS WAY",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980561572",
            "telephone_number": "425-443-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bills Dr",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272237",
            "country_code": "US",
            "telephone_number": "425-443-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "MACKENZIE",
        "middle_name": "LEIGH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003792",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "61070321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maira Mariscal
• Christine Markham, DPT
• Sheryl Melissa Marks, MD
• Marnie Hansen, PLLC
• Whitney S Marois, PT
• Marsh Chiropractic, PS
• Cailey Marsh, OTR/L
• Eric Neal Marsh, D.C.
• Patricia Diane Marsh, D.C.
• Anna Marshall

• Athletic Trainer in Renton, WA
• Providers in Renton, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.