Individual provider Active NPI

Stacy Coleen Broz

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1710821087
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60582362 Issued in WA
Practice address
521 15TH Ave E Ste a
Seattle, WA 98112-4512
Phone
(206) 708-4964
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60582362 WA Primary

Addresses

Primary practice location

521 15TH Ave E Ste a
Seattle, WA 98112-4512

Mailing address

3200 E Madison St
Seattle, WA 98112-4332
Phone (206) 708-4964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60582362WAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1710821087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124332",
            "telephone_number": "206-708-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 15TH AVE E STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124512",
            "telephone_number": "206-708-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZ",
        "first_name": "STACY",
        "middle_name": "COLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60582362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.