Provider Demographics
NPI:1972622249
Name:PARKER, ZIA LANDISS (MA, CAP, CMT)
Entity Type:Individual
Prefix:MS
First Name:ZIA
Middle Name:LANDISS
Last Name:PARKER
Suffix:
Gender:F
Credentials:MA, CAP, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 ALPINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3212
Mailing Address - Country:US
Mailing Address - Phone:303-440-0973
Mailing Address - Fax:
Practice Address - Street 1:612 ALPINE AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3212
Practice Address - Country:US
Practice Address - Phone:303-440-0973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist