NPI 1659949451 · live from the CMS NPI Registry
Zachary John Broach, LMT
Massage Therapist in Prince Frederick, MD. National Provider Identifier 1659949451, active.
NPI record
| NPI | 1659949451 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2795 Adelina Rd, Prince Frederick, MD 20678 |
| Practice phone | 410-610-9911 |
| Enumerated | June 16, 2021 |
| Last updated | June 16, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 0019018293 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.