Provider Demographics
NPI:1679682694
Name:ZABOKRTSKY, CHARLES JAMES I (LMT)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:JAMES
Last Name:ZABOKRTSKY
Suffix:I
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7900 A ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4271
Mailing Address - Country:US
Mailing Address - Phone:402-525-8053
Mailing Address - Fax:402-805-4923
Practice Address - Street 1:7900 A ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4271
Practice Address - Country:US
Practice Address - Phone:402-525-8053
Practice Address - Fax:402-805-4923
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1369225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist