Provider Demographics
NPI:1841243011
Name:ZINSELMEIR, BYRON J (MA, ATC)
Entity Type:Individual
Prefix:MR
First Name:BYRON
Middle Name:J
Last Name:ZINSELMEIR
Suffix:
Gender:M
Credentials:MA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 SILVERADO AVE
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-9118
Mailing Address - Country:US
Mailing Address - Phone:707-839-9294
Mailing Address - Fax:
Practice Address - Street 1:1915 J ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3052
Practice Address - Country:US
Practice Address - Phone:707-476-1709
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer