Provider Demographics
NPI:1972110534
Name:ATKINS, DEBORAH (DC, CCSP, LMT, NREMT)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:ATKINS
Suffix:
Gender:F
Credentials:DC, CCSP, LMT, NREMT
Other - Prefix:DR
Other - First Name:DEBBYE
Other - Middle Name:
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3131 CHESTNUT ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-4002
Mailing Address - Country:US
Mailing Address - Phone:202-570-4313
Mailing Address - Fax:
Practice Address - Street 1:3131 CHESTNUT ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-4002
Practice Address - Country:US
Practice Address - Phone:202-570-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04074111N00000X
DCCH030220111NS0005X
VA0019017003225700000X
GAMT012775225700000X
MDM05828225700000X
DCMT2207225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty