MEDICARE: ZACH GUZA

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	261QH0100X	Health Service Clinic/Center
2	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1902596422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACH GUZA

Provider Business Mailing Address
First Line	:	9965 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6923
Country	:	US
Telephone Number	:	865-387-0415
Fax Number	:

Provider Business Practice Location Address
First Line	:	9965 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6923
Country	:	US
Telephone Number	:	865-387-0415
Fax Number	:

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

Provider Enumeration Date	:	05/09/2023
Last Update Date	:	05/09/2023

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Directions to “ ZACH GUZA ” Practice Location

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