Provider Demographics
NPI:1568904977
Name:ZELLS, ZACHARY
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:ZELLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 W JEFFERSON AVE
Mailing Address - Street 2:STE 301
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2021
Mailing Address - Country:US
Mailing Address - Phone:303-988-7299
Mailing Address - Fax:303-988-8502
Practice Address - Street 1:7373 W JEFFERSON AVE
Practice Address - Street 2:STE 301
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2021
Practice Address - Country:US
Practice Address - Phone:303-988-7299
Practice Address - Fax:303-988-8502
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO797231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist