Provider Demographics
NPI:1033606314
Name:STEVENS, MARSHA REED (ATC)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:REED
Last Name:STEVENS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 KINGSTON TER
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25702-9501
Mailing Address - Country:US
Mailing Address - Phone:304-962-5600
Mailing Address - Fax:
Practice Address - Street 1:225 KINGSTON TER
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702-9501
Practice Address - Country:US
Practice Address - Phone:304-962-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-22
Last Update Date:2018-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer