Healthcare Provider Details

I. General information

NPI: 1609643618
Provider Name (Legal Business Name): ZOYDA WHIGH HOLISTIC HEALER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 NE 98TH ST
SEATTLE WA
98115-2532
US

IV. Provider business mailing address

3501 NE 98TH ST
SEATTLE WA
98115-2532
US

V. Phone/Fax

Practice location:
  • Phone: 806-478-8888
  • Fax:
Mailing address:
  • Phone: 806-478-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNC60938301
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberHP61475775
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: