Healthcare Provider Details

I. General information

NPI: 1508727579
Provider Name (Legal Business Name): ZACHARY EUGENE-EDWARD BUHLER LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 GOLF CLUB PL SE STE C
LACEY WA
98503-1089
US

IV. Provider business mailing address

2909 8TH AVE NE
OLYMPIA WA
98506-1608
US

V. Phone/Fax

Practice location:
  • Phone: 360-352-8896
  • Fax: 360-705-0633
Mailing address:
  • Phone: 765-603-2124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number70037424
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: