Provider Demographics
NPI:1689022931
Name:ZECHMAN, CECILE SHELBY (ATC)
Entity Type:Individual
Prefix:
First Name:CECILE
Middle Name:SHELBY
Last Name:ZECHMAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MIFFLINBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17844-1340
Mailing Address - Country:US
Mailing Address - Phone:570-939-0147
Mailing Address - Fax:
Practice Address - Street 1:115 N 2ND ST
Practice Address - Street 2:
Practice Address - City:MIFFLINBURG
Practice Address - State:PA
Practice Address - Zip Code:17844-1340
Practice Address - Country:US
Practice Address - Phone:570-939-0147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer