Healthcare Provider Details

I. General information

NPI: 1548999303
Provider Name (Legal Business Name): ZACHARY TAYLOR VOYLES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9097 E DESERT COVE AVE STE 110
SCOTTSDALE AZ
85260-6276
US

IV. Provider business mailing address

14287 N 87TH ST STE 220
SCOTTSDALE AZ
85260-3698
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-4298
  • Fax: 480-860-0165
Mailing address:
  • Phone: 480-551-4966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-32376
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: