Provider Demographics
NPI:1336550532
Name:ATKINSON, KARI LYNN (LMT)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:ATKINSON
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 1:111 E WACKERLY ST STE C
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-7043
Mailing Address - Country:US
Mailing Address - Phone:989-633-9633
Mailing Address - Fax:989-423-2374
Practice Address - Street 1:111 E WACKERLY ST STE C
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-7043
Practice Address - Country:US
Practice Address - Phone:989-633-9633
Practice Address - Fax:989-423-2374
Is Sole Proprietor?:No
Enumeration Date:2014-05-11
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501002471225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist