Provider Demographics
NPI:1003009036
Name:ZABIEREK, JENNILLE (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:JENNILLE
Middle Name:
Last Name:ZABIEREK
Suffix:
Gender:F
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 1:17325 BELL NORTH DR
Mailing Address - Street 2:SUITE 2-B
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3368
Mailing Address - Country:US
Mailing Address - Phone:888-590-4002
Mailing Address - Fax:859-268-1202
Practice Address - Street 1:1103 CYPRESS CREEK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3924
Practice Address - Country:US
Practice Address - Phone:512-918-0044
Practice Address - Fax:210-590-4585
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29811225100000X
KY005612225100000X
TX1269600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist