MEDICARE: STACY COLEEN BROZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA60582362	WA

General Provider Information

NPI Number	:	1710821087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY COLEEN BROZ

Provider Business Mailing Address
First Line	:	3200 E MADISON ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4332
Country	:	US
Telephone Number	:	206-708-4964
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 15TH AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4512
Country	:	US
Telephone Number	:	206-708-4964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ STACY COLEEN BROZ ” Practice Location

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