MEDICARE: SUZANNE PAZANDAK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1073189296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE PAZANDAK

Provider Business Mailing Address
First Line	:	58 PANOLA ST
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-1018
Country	:	US
Telephone Number	:	828-808-5145
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 ORANGE ST STE C
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2589
Country	:	US
Telephone Number	:	828-808-5145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	05/28/2021

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Directions to “ SUZANNE PAZANDAK ” Practice Location

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