Individual
ZACKARY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 784-8405
Mailing address
61 RILEY CV, MEDINA, TN 38355-9812
(731) 819-1659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7369
TN
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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