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NPI Code Detail

MEDICARE: MARIAH R ZAHNTER PTA

MEDICARE:   MARIAH R ZAHNTER  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2017036682MO

General Provider Information

NPI Number : 1578035051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH R ZAHNTER PTA
Provider Business Mailing Address
First Line : 1592 HIGHWAY A
Second Line :
City : BONNOTS MILL
State : MO
Zip : 65016-2140
Country : US
Telephone Number : 573-826-0040
Fax Number :
Provider Business Practice Location Address
First Line : 1720 VIETH DR
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-2056
Country : US
Telephone Number : 573-635-6193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2018
Last Update Date : 12/21/2018

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Directions to “ MARIAH R ZAHNTER PTA” Practice Location

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