Marcus Dean Atkinson, LMP
Massage Therapist in Kingston, WA. Individual provider (NPI-1).
NPI number1104161900
StatusActive
Last updated in NPPESDec 5, 2012
Details
- NPI
- 1104161900
- Entity type
- Individual (NPI-1)
- Name
- Marcus Dean Atkinson
- Credential
- LMP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2012
- Last updated
- Dec 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60282004 | WA | Yes |
Practice location
8202 Ne Hwy 104Ste 105
Kingston, WA 98346
Phone 360-860-1165
Mailing address
24430 Madura Dr NeKingston, WA 98346-9221
Phone 360-860-1165
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