Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tate Levi De Atley, CMT

Individual provider Massage Therapist · NPI 1871396663

Mr. Tate Levi De Atley, CMT is a Massage Therapist in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2025.

Licensed in
AK
In the registry since
2025

Practice location Address checks out

814 E Rezanof Dr
Kodiak, AK 99615-6598
Phone: (907) 487-9798
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 236925 (AK)

Record details

NPI number1871396663
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT
Sole proprietorNo
NPI enumeratedMarch 28, 2025
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

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