MEDICARE: DANIELLE YVONNE KLUZ LMT

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	MA61258817	WA

General Provider Information

NPI Number	:	1407645955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE YVONNE KLUZ LMT

Provider Business Mailing Address
First Line	:	3410 NE 202ND ST
Second Line	:
City	:	LAKE FOREST PARK
State	:	WA
Zip	:	98155-1550
Country	:	US
Telephone Number	:	714-852-1770
Fax Number	:

Provider Business Practice Location Address
First Line	:	5413 MERIDIAN AVE N OFC F
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6168
Country	:	US
Telephone Number	:	714-852-1770
Fax Number	:

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

Provider Enumeration Date	:	05/01/2025
Last Update Date	:	05/01/2025

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