Marlis Enterprises Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005068 Issued in WA

Legal business name

MARLIS ENTERPRISES INC.

Practice address

2605 NE Kresky Ave
Chehalis, WA 98532-2411

Phone

(360) 736-0699

Fax

(360) 736-0324

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Marte B Scheuffele, P.T.

Title

President

Phone

(360) 736-0699

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1609057264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985791218",
            "telephone_number": "360-736-0699",
            "fax_number": "360-736-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322411",
            "telephone_number": "360-736-0699",
            "fax_number": "360-736-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLIS ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHEUFFELE",
        "authorized_official_first_name": "MARTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-736-0699",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PIN",
            "identifier": "0175452",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "G8805485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Zorene Mansur, LMT
• Mark Allen Maraman, O.D.
• William Edward Marchant, DDS
• Samuel G Mardini, RPH
• Anita Jeanne Markham, ARNP
• Sarah Marsyla, REGISTERED NURSE
• Alexa Martin
• Kaylin Sheree Martin
• Taeya Aileene Martin
• Carlos Alberto Martinez, B.A.

• Physical Therapist in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.