Doctor Name: | MR. JORDAN ZUCCARELLI |
NPI Number: | 1023421633 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 11-04804 |
Business Practice Address: | 9369 W 75th St Overland Park, KS - 662044000 |
Business Phone Number: | 9133227828 |
Business Fax Number: | 9133620169 |
Mailing Address: | 8800 W 75th St, Ste. 350 SHAWNEE MISSION |
State: | KS |
Postal Code: | 662042205 |
Phone Number: | 9133628317 |
Fax Number: | 9133620169 |
NPI Enumeration Date: | 06/11/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-04804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |