Provider Demographics
NPI:1891338612
Name:LITTLEFIELD, ZACHARY LEE (DPT)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:LEE
Last Name:LITTLEFIELD
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 PLAUDIT PL STE B
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2429
Mailing Address - Country:US
Mailing Address - Phone:859-264-0512
Mailing Address - Fax:859-264-0595
Practice Address - Street 1:1868 PLAUDIT PL STE B
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2429
Practice Address - Country:US
Practice Address - Phone:859-264-0512
Practice Address - Fax:859-264-0595
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007837225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist