Provider Demographics
NPI:1033466164
Name:STOICH, FRITZ (LMP)
Entity Type:Individual
Prefix:MISS
First Name:FRITZ
Middle Name:
Last Name:STOICH
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 RUCKER AVE STE A
Mailing Address - Street 2:SCHMIDT FAMILY CHIROPRACTIC
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2397
Mailing Address - Country:US
Mailing Address - Phone:425-258-1969
Mailing Address - Fax:425-259-5466
Practice Address - Street 1:4418 RUCKER AVE STE A
Practice Address - Street 2:SCHMIDT FAMILY CHIROPRACTIC
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2397
Practice Address - Country:US
Practice Address - Phone:425-258-1969
Practice Address - Fax:425-259-5466
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60280197225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist