Provider Demographics
NPI:1821011263
Name:BESSLER, MARJORIE JOHNSON (ATC)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:JOHNSON
Last Name:BESSLER
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 1:124 MILL VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3178
Mailing Address - Country:US
Mailing Address - Phone:804-926-8434
Mailing Address - Fax:
Practice Address - Street 1:124 MILL VIEW CIR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3178
Practice Address - Country:US
Practice Address - Phone:804-926-8434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT09542255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer