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Active NPI 1760652515 Individual Practitioner Female Practitioner

Terrisa R Mustard-Marshall , LMP

Specialist • Everett, WA

Professional Overview & Biography Verified Profile Summary

Terrisa Mustard-Marshall, LMP is a registered healthcare professional specializing in Specialist in Everett, WA. Practice services are available at 4323 RUCKER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4323 Rucker Ave
A

Everett, WA 982032213

Telephone 4253144842
Fax 4253392221

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
48 Specialists

Practicing in Everett, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00024827

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Michele Mac Neill , LMP

Massage Therapist

NPI 1053434662

Licensed Massage Practitioner

Tawnya Nettles , LMP

Massage Therapist

NPI 1053591388

Licensed Massage Practitioner

Kristen Davis , LMP

Massage Therapist

NPI 1699928630

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2008

Registered at 4323 RUCKER AVE, A, EVERETT, WA 982032213 (Tel: 4253144842)

📍
Updated Business Mailing Address March 07, 2008

Registered at 10110 19TH AVE SE, E-102, EVERETT, WA 982084249 (Tel: 4253144842)

👤
Provider Name / Credentials Updated March 07, 2008

Recorded as TERRISA MUSTARD-MARSHALL, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2008

Specialist (License #MA00024827 in WA)

🟢
Initial NPI Registration & Enumeration March 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760652515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2008
Last Update: March 07, 2008
Sole Proprietor: Yes

Mailing Address

10110 19th Ave Se, E-102

Everett, WA 982084249

Phone: 4253144842

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.