Provider Demographics
NPI:1245057785
Name:AYRES, ZACHARY (DC, MS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:AYRES
Suffix:
Gender:
Credentials:DC, MS
Other - Prefix:DR
Other - First Name:ZACH
Other - Middle Name:
Other - Last Name:AYRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC, MS
Mailing Address - Street 1:PO BOX 700688
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0688
Mailing Address - Country:US
Mailing Address - Phone:800-404-6050
Mailing Address - Fax:866-313-3397
Practice Address - Street 1:4030 MOUNT CARMEL TOBASCO RD STE 102
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3408
Practice Address - Country:US
Practice Address - Phone:800-404-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05366111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDC-05366OtherCHIROPRACTIC LICENSE