Provider Demographics
NPI:1164703526
Name:MARKLE, BRIANA CATHERINE (LMT)
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:CATHERINE
Last Name:MARKLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10907 57TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-5720
Mailing Address - Country:US
Mailing Address - Phone:971-998-3982
Mailing Address - Fax:
Practice Address - Street 1:10907 57TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-5720
Practice Address - Country:US
Practice Address - Phone:971-998-3982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018396171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor