Individual
ZACHARY SCHMUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12722 TONKEL RD STE 102, FORT WAYNE, IN 46845-8201
(260) 739-0300
Mailing address
53564 STATE ROAD 13, MIDDLEBURY, IN 46540-8931
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05013723A
LICENSE
IN
05
—
300038798
—
IN
Enumeration date
05/11/2020
Last updated
06/24/2020
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