Provider Demographics
NPI:1811875123
Name:SKELTON, ZACHARY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:SKELTON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 TAYLOR ST APT 221
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-4399
Mailing Address - Country:US
Mailing Address - Phone:512-496-9872
Mailing Address - Fax:
Practice Address - Street 1:5207 AIRLINE DR, 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-1953
Practice Address - Country:US
Practice Address - Phone:713-691-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14072382251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics