Provider Demographics
NPI:1467109330
Name:GARZA, ABIGAIL MAELYNN
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MAELYNN
Last Name:GARZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:MAELYNN
Other - Last Name:STEFFFLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 E 9TH AVE APT D102
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-3263
Mailing Address - Country:US
Mailing Address - Phone:509-989-4053
Mailing Address - Fax:
Practice Address - Street 1:102 E 3RD AVE STE LL101
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-1357
Practice Address - Country:US
Practice Address - Phone:509-855-2776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist