Provider Demographics
NPI:1184863433
Name:BREZINSKI, ROBYN Z U (LMP)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:Z U
Last Name:BREZINSKI
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 1:718 15TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4574
Mailing Address - Country:US
Mailing Address - Phone:206-601-7542
Mailing Address - Fax:
Practice Address - Street 1:718 15TH AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4574
Practice Address - Country:US
Practice Address - Phone:206-601-7542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2011-02-08
Deactivation Date:2009-09-10
Deactivation Code:
Reactivation Date:2011-02-08
Provider Licenses
StateLicense IDTaxonomies
WAMA00019844225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist