Provider Demographics
NPI:1881174209
Name:TEAFF, ZACHARY MARIO (DPT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:MARIO
Last Name:TEAFF
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2199 SUNSET BLVD STE C&D
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1298
Mailing Address - Country:US
Mailing Address - Phone:740-266-7246
Mailing Address - Fax:740-266-7248
Practice Address - Street 1:2199 SUNSET BLVD STE C&D
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1298
Practice Address - Country:US
Practice Address - Phone:740-266-7246
Practice Address - Fax:740-266-7248
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017701225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist