Provider Demographics
NPI:1881083376
Name:HITE, MAGDALENA MARIE (MS, ATC, LAT)
Entity type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:MARIE
Last Name:HITE
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:MAGDALENA
Other - Middle Name:MARIE
Other - Last Name:WINTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 HEWITT AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3600
Mailing Address - Country:US
Mailing Address - Phone:425-252-3908
Mailing Address - Fax:
Practice Address - Street 1:7400 272ND ST NW
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-7410
Practice Address - Country:US
Practice Address - Phone:360-629-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAA1602406142255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer