Provider Demographics
NPI:1558960757
Name:LINDNER, ZACH THOMAS (LMT)
Entity Type:Individual
Prefix:MR
First Name:ZACH
Middle Name:THOMAS
Last Name:LINDNER
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 1:6790 HARRISON AVE APT 25
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-3276
Mailing Address - Country:US
Mailing Address - Phone:513-295-1293
Mailing Address - Fax:
Practice Address - Street 1:6790 HARRISON AVE APT 25
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-3276
Practice Address - Country:US
Practice Address - Phone:513-295-1293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.024393225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist