Healthcare Provider Details

I. General information

NPI: 1285543355
Provider Name (Legal Business Name): JENNA PIECZONKA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7311 24TH AVE NE
SEATTLE WA
98115-5809
US

IV. Provider business mailing address

7311 24TH AVE NE
SEATTLE WA
98115-5809
US

V. Phone/Fax

Practice location:
  • Phone: 817-988-5178
  • Fax:
Mailing address:
  • Phone: 817-988-5178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number70169262
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: