Mickayla Marie Markley, MAT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14508 Issued in HI

Practice address

74-5620 Palani Rd Ste 102
Kailua Kona, HI 96740-3640

Phone

(907) 841-6725

NPI assigned

Jan 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mickayla Marie Monson Former name

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1609330018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73-4615 KOHANAIKI ROAD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "907-841-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5620 PALANI RD STE 102",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403640",
            "telephone_number": "907-841-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLEY",
        "first_name": "MICKAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "14508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAT",
            "identifier": "14508",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKAYLA",
            "last_name": "MONSON",
            "middle_name": "MARIE",
            "credential": "MAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Camille S Mandini
• James C Manley, PH.D.
• Mary Mann
• Fernando Manon
• Nina Manuel
• Sarah Martens, PT
• Howard M Martin II, LMT, DC
• Robert Carl Martin, D.C., CCN, DACBN, AB
• Mary K R Warren M.D. Inc
• Mary K. Warren, M.D., Inc

• Massage Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.