Provider Demographics
NPI:1245594373
Name:ZEHNDER, TOBIA O
Entity Type:Individual
Prefix:MRS
First Name:TOBIA
Middle Name:O
Last Name:ZEHNDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5267 BEAR MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-5605
Mailing Address - Country:US
Mailing Address - Phone:303-679-3529
Mailing Address - Fax:
Practice Address - Street 1:5267 BEAR MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-5605
Practice Address - Country:US
Practice Address - Phone:303-679-3529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4036225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist