| Doctor Name: | MR. ZACK TREVOR SOLOMON |
| NPI Number: | 1124018981 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 25751 |
| Business Practice Address: | 650 Joel Dr Fort Campbell, KY - 422235318 |
| Business Phone Number: | 2707988388 |
| Business Fax Number: | |
| Mailing Address: | 650 Joel Dr, FORT CAMPBELL |
| State: | KY |
| Postal Code: | 422235318 |
| Phone Number: | 2707988388 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2005 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 25751 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |