Zackary Austin
Individual provider Active NPI Physical Therapy Assistant · Humboldt, TN
NPI 1003440678 · NPPES record last updated Feb 23, 2020
Key facts
- NPI
- 1003440678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 7369 (TN)
- Practice address
- 2865 E Main St
Humboldt, TN 38343-3070 - Phone
- (731) 784-8405
- NPI assigned
- Feb 23, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7369 | TN | Yes |
Addresses
Primary practice location
2865 E Main St
Humboldt, TN 38343-3070
Mailing address
61 Riley CV
Medina, TN 38355-9812
Phone (731) 819-1659
Other providers in Humboldt, TN
- Alternative Choice Counseling Center, LLC
- Summer R Anthony
- Archie Chiropractic LLC
- Jacob Alan Archie
- Festus N Arinze
- Avondale Health and Rehabilitation Center LLC
- Bryan Barnett
- Bethany Mayo Bearden
- Behavioral Outreach Services, LLC
- Mariah Denise Blackwell
All providers in Humboldt, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.