MR. TATE LEVI DE ATLEY CMT NPI 1871396663

NPI Information

  • NPI: 1871396663
  • Provider Name: MR. TATE LEVI DE ATLEY, CMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 814 E REZANOF DR
    KODIAK, AK
    ZIP 99615
  • Phone: (907) 487-9798

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NPI Details

MR. Tate Levi De Atley, CMT is a massage therapist in Kodiak, AK. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Tate Levi De Atley, CMT NPI is 1871396663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

814 E REZANOF DR
KODIAK, AK
ZIP 99615-598
Phone: (907) 487-9798

The enumeration date for this NPI number is 3/28/2025 and was last updated on 3/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist236925ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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