Healthcare Provider Details

I. General information

NPI: 1598687246
Provider Name (Legal Business Name): ZACHARY MICHAEL STEFFGEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 E 4TH ST
CHATTANOOGA TN
37403-1925
US

IV. Provider business mailing address

1185 MOUNTAIN CREEK RD APT 904
CHATTANOOGA TN
37405-1654
US

V. Phone/Fax

Practice location:
  • Phone: 423-425-4706
  • Fax:
Mailing address:
  • Phone: 630-800-8975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: