Healthcare Provider Details

I. General information

NPI: 1093528846
Provider Name (Legal Business Name): ZACHARY A SAUL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18530 E SAN TAN BLVD STE 109
QUEEN CREEK AZ
85142-2201
US

IV. Provider business mailing address

578 N NEVADA WAY
GILBERT AZ
85233-4200
US

V. Phone/Fax

Practice location:
  • Phone: 480-677-8202
  • Fax:
Mailing address:
  • Phone: 480-427-9105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-034012
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: