Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ZACHARY JOHN BROACH, LMT
Active Sole ProprietorMR. ZACHARY JOHN BROACH, LMT is a Massage Therapist healthcare provider located in PRINCE FREDERICK, Maryland. NPI 1659949451 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PRINCE FREDERICK, MD
Registration Details
- NPI Number
- 1659949451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2021 (5.1204573752276 yrs)
- Last Updated
- Jun 16, 2021
- License
-
0019018293 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2795 ADELINA RDPRINCE FREDERICK, MD, 206784700Browse MD providers · Browse ZIP 20678
- Phone
- 4106109911
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.