Healthcare Provider Details

I. General information

NPI: 1255240636
Provider Name (Legal Business Name): KAIZEN HEALTH QD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 SW 313TH ST
FEDERAL WAY WA
98023-2143
US

IV. Provider business mailing address

3800 SW 313TH ST
FEDERAL WAY WA
98023-2143
US

V. Phone/Fax

Practice location:
  • Phone: 401-575-9610
  • Fax:
Mailing address:
  • Phone: 401-575-9610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BARBARA SITSCH
Title or Position: CEO & FOUNDER
Credential:
Phone: 401-575-9610