EDDIE DEAN ANZALONE MA60756602 NPI 1841718178

NPI Information

NPI: 1841718178
Provider Name: EDDIE DEAN ANZALONE, MA60756602
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
17030 SE 1ST ST STE 102
VANCOUVER, WA
ZIP 98684
Phone: (360) 604-1226
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Eddie Dean Anzalone, MA60756602 is a massage therapist in Vancouver, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Eddie Dean Anzalone, MA60756602 NPI is 1841718178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17030 SE 1ST ST STE 102
VANCOUVER, WA
ZIP 98684-514
Phone: (360) 604-1226

The enumeration date for this NPI number is 9/7/2017 and was last updated on 9/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA60756602	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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