Zachary Wade Rathbun PTA

NPI 1790116986 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1790116986
Gender Male
Enumeration Date 12/12/2013
Last Updated 12/12/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1400 E SOUTHERN AVE STE 310
TEMPE AZ, 85282-5695, US
Phone (877) 279-0891
Fax
Business Location
PO BOX 162
HINGHAM MT, 59528-0162, US
Phone (406) 390-2612
Fax
Toxanomy
Taxonomy Code 225200000X
License State Montana
License Number 2384
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According to our database, Zachary Wade Rathbun PTA NPI is 1790116986, taxonomy code is 225200000X and license number is 2384, license state is located at Montana. Zachary Wade Rathbun PTA physically located at 1400 E Southern Ave Ste 310, Tempe AZ, 85282-5695. NPI Number Zachary Wade Rathbun PTA has the Individual type.

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1790116986 NPI number is provided on an as is basis without warranty of any kind. 1790116986 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Wade Rathbun PTA are for informational purposes only.