Healthcare Provider Details

I. General information

NPI: 1962573493
Provider Name (Legal Business Name): WHITNEY MICHELLE ZARRO ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY MICHELLE MASON LPTA

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7726 HIGHWAY 165
COLUMBIA LA
71418-3322
US

IV. Provider business mailing address

1601 GLENMAR AVE
MONROE LA
71201-4947
US

V. Phone/Fax

Practice location:
  • Phone: 318-649-9800
  • Fax: 318-649-9825
Mailing address:
  • Phone: 251-591-7358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number357
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberA8358R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: