Provider Demographics
NPI:1972286730
Name:ABKEMEIER, ZACHARY THOMAS (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:THOMAS
Last Name:ABKEMEIER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 ACORN HILL CT
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-7022
Mailing Address - Country:US
Mailing Address - Phone:314-471-1082
Mailing Address - Fax:
Practice Address - Street 1:11630 STUDT AVE STE 200
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7394
Practice Address - Country:US
Practice Address - Phone:636-244-8248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023031647225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist