Provider Demographics
NPI:1265708101
Name:SMITH, ZACHARY GARRETT (DC)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:GARRETT
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2275 SWALLOW HILL RD
Mailing Address - Street 2:STE 2600
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1643
Mailing Address - Country:US
Mailing Address - Phone:412-655-2407
Mailing Address - Fax:412-655-3511
Practice Address - Street 1:5600 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2935
Practice Address - Country:US
Practice Address - Phone:412-655-2407
Practice Address - Fax:412-655-3511
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor