Individual
ZACH WILLIAM MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10142
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260497
—
AL
01
—
PTH10142
LICENSE
AL
Enumeration date
12/30/2020
Last updated
09/01/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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