Provider Demographics
NPI:1114305844
Name:SHUSS, ZANE (ATC)
Entity Type:Individual
Prefix:
First Name:ZANE
Middle Name:
Last Name:SHUSS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8880 TSCHUDY HILL RD SW
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43837-9200
Mailing Address - Country:US
Mailing Address - Phone:330-401-6451
Mailing Address - Fax:
Practice Address - Street 1:8880 TSCHUDY HILL ROAD
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43837
Practice Address - Country:US
Practice Address - Phone:330-401-6451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer