Individual
JOHN T ZIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1101 HEALTH PROFESSIONS BLD, CENTRAL MICHIGAN UNIVERSITY, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BLD, CENTRAL MICHIGAN UNIVERSITY, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501300646
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C71103
BCBSM
MI
01
—
352191234
PPOM PROVIDER NUMBER
MI
Enumeration date
01/03/2007
Last updated
03/06/2014
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