Marion Elizabeth Teal-Atwood, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-1537 Issued in ID

Practice address

127 S Washington St Ste 6
Moscow, ID 83843-2866

Phone

(208) 892-6506

Fax

(509) 334-6768

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1558848341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S WASHINGTON ST STE 6",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432866",
            "telephone_number": "208-892-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S WASHINGTON ST STE 6",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432866",
            "telephone_number": "208-892-6506",
            "fax_number": "509-334-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL-ATWOOD",
        "first_name": "MARION",
        "middle_name": "ELIZABETH",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Moscow, ID
• Providers in Moscow, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.