MR. TATE LEVI DE ATLEY CMT
NPI 1871396663
Massage Therapist in Kodiak, AK

Active since March 28, 2025
814 E REZANOF DR, KODIAK, AK 99615(907) 487-9798 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Tate Levi De Atley Cmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TATE LEVI DE ATLEY CMT (NPI 1871396663) is an individual massage therapist in Kodiak, Alaska, licensed in Alaska (236925) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1871396663
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. TATE LEVI DE ATLEYCredential: CMT
Location Address814 E REZANOF DRKodiak, AK 99615-6598
Mailing Address1897 L St Lot 10Kodiak, AK 99615-6902 · (317) 689-9894
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1871396663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in AK · 236925
Definition

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.

814 E REZANOF DR, Kodiak, AK 99615

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
814 E REZANOF DR
KODIAK, AK 99615
Massage Therapist
814 E REZANOF DR
KODIAK, AK 99615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871396663, enumerated as an "individual" on March 28, 2025.

The provider is located at 814 E REZANOF DR KODIAK, AK 99615 and the phone number is (907) 487-9798.

Massage Therapist with taxonomy code 225700000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.