Provider Demographics
NPI:1831534650
Name:TOUGH MONKEY, LLC
Entity type:Organization
Organization Name:TOUGH MONKEY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:AKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-968-5067
Mailing Address - Street 1:7215 NE 119TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2414
Mailing Address - Country:US
Mailing Address - Phone:425-820-1112
Mailing Address - Fax:425-968-5987
Practice Address - Street 1:733 7TH AVE
Practice Address - Street 2:STE. 105
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5668
Practice Address - Country:US
Practice Address - Phone:425-968-5067
Practice Address - Fax:425-968-5987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60333358253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care