Individual
TEEJAY L ZENKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
(385) 308-8034
Mailing address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1498
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316108327
BLUE CROSS BLUE SHIELD
ND
05
—
1316108327
—
ND
Enumeration date
06/23/2008
Last updated
12/05/2022
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