Provider Demographics
NPI:1699920702
Name:ADKINS, DEBRA L (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:L
Last Name:ADKINS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RT.2 ECKARD CHAPEL RD
Mailing Address - Street 2:1095
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-9556
Mailing Address - Country:US
Mailing Address - Phone:304-675-7808
Mailing Address - Fax:304-675-2493
Practice Address - Street 1:ALL ABOUT YOU 6TH ST.
Practice Address - Street 2:201B
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-1108
Practice Address - Country:US
Practice Address - Phone:304-675-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2005-1809225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist