Healthcare Provider Details

I. General information

NPI: 1205791373
Provider Name (Legal Business Name): MEGAN K ZELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 NW BALLARD WAY 3RD FLOOR, SUITE 22
SEATTLE WA
98107
US

IV. Provider business mailing address

60 W ETRURIA ST
SEATTLE WA
98119-1917
US

V. Phone/Fax

Practice location:
  • Phone: 937-407-1839
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: