Provider Demographics
NPI:1497150718
Name:ZESCHMANN, SAMANTHA (PTA)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:ZESCHMANN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6538 S ALKIRE ST
Mailing Address - Street 2:UNIT 1714
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5072
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6538 S ALKIRE ST
Practice Address - Street 2:UNIT 1714
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5072
Practice Address - Country:US
Practice Address - Phone:720-495-2489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTA.0013445225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant