Provider Demographics
NPI:1912942798
Name:DOWNEY, MICHAEL MCKENZIE (ATC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:MCKENZIE
Last Name:DOWNEY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 QUAIL CT
Mailing Address - Street 2:
Mailing Address - City:MASSANUTTEN
Mailing Address - State:VA
Mailing Address - Zip Code:22840-3108
Mailing Address - Country:US
Mailing Address - Phone:540-289-9709
Mailing Address - Fax:
Practice Address - Street 1:1200 PARK RD
Practice Address - Street 2:EASTERN MENNONITE UNIVERSITY
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-2404
Practice Address - Country:US
Practice Address - Phone:540-432-4336
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer