Provider Demographics
NPI:1548643224
Name:ROBINSON, ZACKERY A (DPT, PT)
Entity type:Individual
Prefix:MR
First Name:ZACKERY
Middle Name:A
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 W CASINO RD BLDG 40.421
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-1910
Mailing Address - Country:US
Mailing Address - Phone:425-342-4790
Mailing Address - Fax:425-342-4845
Practice Address - Street 1:3003 W CASINO RD BLDG 40.421
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-1910
Practice Address - Country:US
Practice Address - Phone:425-342-4790
Practice Address - Fax:425-342-4845
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60537552174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist