Most Relevant Information
Provider Data
| NPI Number: | 1003440678 |
| Provider Name: | ZACKARY AUSTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 7369 |
Most Important Dates
| Enumeration Date: | 02/23/2020 |
| Last Updated: | 02/23/2020 |
Provider Practice Location
2865 E MAIN ST
HUMBOLDT
TN
383433070
Practice Location Phone/Fax
| Phone: | 7317848405 |
| Fax: |
Provider Mailing Location
61 RILEY CV
MEDINA
TN
383559812
Provider Mailing Phone/Fax
| Phone: | 7318191659 |
| Fax: |