Provider Demographics
NPI:1659623718
Name:ZMESKAL, KAREY
Entity Type:Individual
Prefix:
First Name:KAREY
Middle Name:
Last Name:ZMESKAL
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 1:124 BEACH DR
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MN
Mailing Address - Zip Code:55373-9615
Mailing Address - Country:US
Mailing Address - Phone:612-432-4273
Mailing Address - Fax:
Practice Address - Street 1:124 BEACH DR
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MN
Practice Address - Zip Code:55373-9615
Practice Address - Country:US
Practice Address - Phone:612-432-4273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant