Healthcare Provider Details

I. General information

NPI: 1063190932
Provider Name (Legal Business Name): APRIL BUZZARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9714 3RD AVE NE STE 103
SEATTLE WA
98115-2047
US

IV. Provider business mailing address

12317 15TH AVE NE APT 409
SEATTLE WA
98125-4873
US

V. Phone/Fax

Practice location:
  • Phone: 206-527-9709
  • Fax:
Mailing address:
  • Phone: 253-205-4285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA61455189
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: