Provider Demographics
NPI:1073888251
Name:NEWELL, ZACHARY (LMT)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:NEWELL
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 TRAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-1546
Mailing Address - Country:US
Mailing Address - Phone:541-543-9288
Mailing Address - Fax:541-654-4282
Practice Address - Street 1:902 TRAVIS AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404
Practice Address - Country:US
Practice Address - Phone:541-543-9288
Practice Address - Fax:541-654-4282
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13486172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist