Provider Demographics
NPI:1811453343
Name:MATKEL CORPORATION
Entity type:Organization
Organization Name:MATKEL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:801-649-6718
Mailing Address - Street 1:4459 FREMONT AVE N STE 2
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103
Mailing Address - Country:US
Mailing Address - Phone:206-501-2092
Mailing Address - Fax:206-708-6638
Practice Address - Street 1:4459 FREMONT AVE N STE 2
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103
Practice Address - Country:US
Practice Address - Phone:206-501-2092
Practice Address - Fax:206-708-6638
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MATKEL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty