Provider Demographics
NPI:1902596422
Name:GUZA, ZACH
Entity Type:Individual
Prefix:
First Name:ZACH
Middle Name:
Last Name:GUZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9965 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-6923
Mailing Address - Country:US
Mailing Address - Phone:865-387-0415
Mailing Address - Fax:
Practice Address - Street 1:9965 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-6923
Practice Address - Country:US
Practice Address - Phone:865-387-0415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service