Provider Demographics
NPI:1811012420
Name:ZIMBECK, TEDI (CMT)
Entity Type:Individual
Prefix:
First Name:TEDI
Middle Name:
Last Name:ZIMBECK
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8064 W JEWELL AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6710
Mailing Address - Country:US
Mailing Address - Phone:303-980-4600
Mailing Address - Fax:
Practice Address - Street 1:8064 W JEWELL AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6710
Practice Address - Country:US
Practice Address - Phone:303-980-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist