Individual
ZACHARY HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
610 KING OF PRUSSIA RD, RADNOR, PA 19087-3623
(610) 931-7952
Mailing address
1 LISA CIR, DREXEL HILL, PA 19026-5027
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
07/29/2016
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