Provider Demographics
NPI:1780937391
Name:ZELLER, COURTNEY MICHELLE (AEMP)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:MICHELLE
Last Name:ZELLER
Suffix:
Gender:F
Credentials:AEMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 SW ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2517
Mailing Address - Country:US
Mailing Address - Phone:425-466-7379
Mailing Address - Fax:
Practice Address - Street 1:509 OLIVE WAY STE 1401
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1746
Practice Address - Country:US
Practice Address - Phone:206-402-3813
Practice Address - Fax:206-629-2267
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60263139171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist