Provider Demographics
NPI:1700666872
Name:POWELL, ZOEY HANNAH (ACSM-CEP)
Entity Type:Individual
Prefix:
First Name:ZOEY
Middle Name:HANNAH
Last Name:POWELL
Suffix:
Gender:F
Credentials:ACSM-CEP
Other - Prefix:
Other - First Name:ZOEY
Other - Middle Name:HANNAH
Other - Last Name:ZOCCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACSM-CEP
Mailing Address - Street 1:4421 HARRISON BLVD STE A10
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-3174
Mailing Address - Country:US
Mailing Address - Phone:801-387-3062
Mailing Address - Fax:
Practice Address - Street 1:4421 HARRISON BLVD STE A10
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-3174
Practice Address - Country:US
Practice Address - Phone:801-387-3062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1056905224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist