Healthcare Provider Details

I. General information

NPI: 1245057785
Provider Name (Legal Business Name): ZACHARY AYRES DC, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ZACH AYRES DC, MS

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 MOUNT CARMEL TOBASCO RD STE 102
CINCINNATI OH
45255-3408
US

IV. Provider business mailing address

PO BOX 700688
SAN ANTONIO TX
78270-0688
US

V. Phone/Fax

Practice location:
  • Phone: 800-404-6050
  • Fax:
Mailing address:
  • Phone: 800-404-6050
  • Fax: 866-313-3397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC-05366
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: