Provider Demographics
NPI:1205513629
Name:ZATTONI, DEBORAH ANN (PT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:ZATTONI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:ARCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5420 KAHLER DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55301-9780
Mailing Address - Country:US
Mailing Address - Phone:763-442-2172
Mailing Address - Fax:
Practice Address - Street 1:5601 94TH AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2395
Practice Address - Country:US
Practice Address - Phone:763-401-2461
Practice Address - Fax:479-935-2975
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5584225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist