Provider Demographics
NPI:1043252778
Name:PIZZARIELLO, ANNAMARIE (LMP, CNT)
Entity type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:
Last Name:PIZZARIELLO
Suffix:
Gender:F
Credentials:LMP, CNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 804
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-0804
Mailing Address - Country:US
Mailing Address - Phone:360-330-8084
Mailing Address - Fax:360-330-8084
Practice Address - Street 1:221 N TOWER AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-4309
Practice Address - Country:US
Practice Address - Phone:360-330-8084
Practice Address - Fax:360-330-8084
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 2091225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist