Provider Demographics
NPI:1740789932
Name:PILZ, APRIL (LMT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:PILZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8947 BREINIG RUN CIR
Mailing Address - Street 2:
Mailing Address - City:BREINIGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18031-2030
Mailing Address - Country:US
Mailing Address - Phone:484-239-5471
Mailing Address - Fax:
Practice Address - Street 1:701 W UNION BLVD UNIT 2
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-3732
Practice Address - Country:US
Practice Address - Phone:484-239-5471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG005402225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist