Provider Demographics
NPI:1699208892
Name:WRIGHT, ZACHARY (ATC)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
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:LKD CENTER 500 W UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79968-0001
Mailing Address - Country:US
Mailing Address - Phone:915-747-6801
Mailing Address - Fax:
Practice Address - Street 1:LKD CENTER 500 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79968-0001
Practice Address - Country:US
Practice Address - Phone:915-747-6801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer