Most Relevant Information
Provider Data
| NPI Number: | 1003265356 |
| Provider Name: | ZACHARY AUSTIN WHITE PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 11-05394 |
Most Important Dates
| Enumeration Date: | 06/08/2016 |
| Last Updated: | 02/09/2017 |
Provider Practice Location
501 S MADISON ST
STE L
WEBB CITY
MO
648702502
Practice Location Phone/Fax
| Phone: | 4176732156 |
| Fax: | 4176732176 |
Provider Mailing Location
8823 PRODUCTION LN
OOLTEWAH
TN
373636511
Provider Mailing Phone/Fax
| Phone: | 4232387217 |
| Fax: | 4232383473 |