Provider Demographics
NPI:1851933196
Name:CASINELLI, ZACHARY (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:CASINELLI
Suffix:
Gender:M
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 DEPOT ST APT 7
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:NH
Mailing Address - Zip Code:03217-4543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 HIGH ST
Practice Address - Street 2:MSC 32
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-0326
Practice Address - Country:US
Practice Address - Phone:401-465-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer