Individual
ZACHARY AUSTIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
501 S MADISON ST, STE L, WEBB CITY, MO 64870-2502
(417) 673-2156
(417) 673-2176
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05394
KS
225100000X
Physical Therapist
Primary
2016024378
MO
225100000X
Physical Therapist
PT 4261
AR
Other
Enumeration date
06/08/2016
Last updated
02/09/2017
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