Provider Demographics
NPI:1043859796
Name:WORKMAN, MARIKATE (LAC)
Entity type:Individual
Prefix:
First Name:MARIKATE
Middle Name:
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7608 STAFFORDSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4617
Mailing Address - Country:US
Mailing Address - Phone:440-309-0668
Mailing Address - Fax:
Practice Address - Street 1:106 MISSION CT STE 603A
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6440
Practice Address - Country:US
Practice Address - Phone:440-309-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-29
Last Update Date:2019-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN403171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist