Individual
ZACHARY WADE RATHBUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1400 E SOUTHERN AVE STE 310, TEMPE, AZ 85282-5695
(877) 279-0891
Mailing address
PO BOX 162, HINGHAM, MT 59528-0162
(406) 390-2612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2384
MT
225200000X
Physical Therapy Assistant
Primary
9166A
AZ
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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