Healthcare Provider Details

I. General information

NPI: 1174774731
Provider Name (Legal Business Name): MS. ELIZABETH ZSIGRAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7053 W CENTRAL AVE
TOLEDO OH
43617-1114
US

IV. Provider business mailing address

7053 W CENTRAL AVE
TOLEDO OH
43617-1114
US

V. Phone/Fax

Practice location:
  • Phone: 419-843-1369
  • Fax: 419-843-8402
Mailing address:
  • Phone: 419-843-1369
  • Fax: 419-843-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33016527
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: