Provider Demographics
NPI:1407285810
Name:ZOOK, STEVEN (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:ZOOK
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11911 GATWICK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-4169
Mailing Address - Country:US
Mailing Address - Phone:317-418-0021
Mailing Address - Fax:
Practice Address - Street 1:11911 GATWICK VIEW DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-4169
Practice Address - Country:US
Practice Address - Phone:317-418-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36001277A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer