Individual
ZACHARY PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
4965 CERAMIC WAY, CROOKSVILLE, OH 43731
(512) 963-9210
Mailing address
363 RICHLAND AVE APT 322, ATHENS, OH 45701-3283
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006174
OH
2255A2300X
Athletic Trainer
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
02/05/2019
Last updated
07/24/2020
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