Individual
ZACHARY LUKE PREBOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC, MS PT
Contact information
Practice address
8150 W EMERALD ST STE 180, BOISE, ID 83704-9019
(208) 450-5645
Mailing address
490 S ABBS ST, BOISE, ID 83705-1621
(608) 333-5272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10464
ID
225100000X
Physical Therapist
10386-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10386-024
PHYSICAL THERAPIST
WI
Enumeration date
02/09/2007
Last updated
02/10/2025
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