Provider Demographics
NPI:1427291566
Name:MARKLE, REGINA LOIS (CREDIFIED ROLFER,CMT)
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:LOIS
Last Name:MARKLE
Suffix:
Gender:F
Credentials:CREDIFIED ROLFER,CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 PINE ST
Mailing Address - Street 2:
Mailing Address - City:JACOBUS
Mailing Address - State:PA
Mailing Address - Zip Code:17407-1214
Mailing Address - Country:US
Mailing Address - Phone:717-428-3545
Mailing Address - Fax:
Practice Address - Street 1:13 PINE ST
Practice Address - Street 2:
Practice Address - City:JACOBUS
Practice Address - State:PA
Practice Address - Zip Code:17407-1214
Practice Address - Country:US
Practice Address - Phone:717-428-3545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30137500 NCTMB174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist