Healthcare Provider Details

I. General information

NPI: 1184264137
Provider Name (Legal Business Name): AMY L FRAZIER MSM, LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 COLBY AVE
EVERETT WA
98201-3563
US

IV. Provider business mailing address

2808 COLBY AVE
EVERETT WA
98201-3563
US

V. Phone/Fax

Practice location:
  • Phone: 360-453-7872
  • Fax:
Mailing address:
  • Phone: 360-453-7872
  • Fax: 866-317-7688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number61029385
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number70042483
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: