MEDICARE: SUSAN WOZNIAK

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	:	1932236379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN WOZNIAK

Provider Business Mailing Address
First Line	:	7701 23RD AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4318
Country	:	US
Telephone Number	:	206-782-1805
Fax Number	:

Provider Business Practice Location Address
First Line	:	7701 23RD AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4318
Country	:	US
Telephone Number	:	206-782-1805
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN WOZNIAK
Credential	:	LMP
Telephone Number	:	206-782-1805

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “SUSAN WOZNIAK ” Practice Location

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