Individual
ZACKERY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3100 S LAKEPORT ST, SIOUX CITY, IA 51106-4222
(712) 277-4442
Mailing address
3100 S LAKEPORT ST, SIOUX CITY, IA 51106-4222
(712) 277-4442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2230
SD
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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