Healthcare Provider Details

I. General information

NPI: 1932381878
Provider Name (Legal Business Name): AARON KARL ZUEGE L.M.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6738 15TH AVE NW
SEATTLE WA
98117-5507
US

IV. Provider business mailing address

6738 15TH AVE NW
SEATTLE WA
98117-5507
US

V. Phone/Fax

Practice location:
  • Phone: 206-789-0289
  • Fax:
Mailing address:
  • Phone: 206-789-0289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00023812
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: