Provider Demographics
NPI:1659253680
Name:ZUCKERMAN, MICHELLE (EDD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:ZUCKERMAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 N ALTAMONT ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-5617
Mailing Address - Country:US
Mailing Address - Phone:412-500-4741
Mailing Address - Fax:
Practice Address - Street 1:3695 N 15TH ST
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-6496
Practice Address - Country:US
Practice Address - Phone:412-500-4741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach