Provider Demographics
NPI:1881242832
Name:SCHOENROCK, ZACHARY (PT, DPT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:SCHOENROCK
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 CASTLES GATE DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-7203
Mailing Address - Country:US
Mailing Address - Phone:712-266-0707
Mailing Address - Fax:
Practice Address - Street 1:2802 CASTLES GATE DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-7203
Practice Address - Country:US
Practice Address - Phone:712-266-0707
Practice Address - Fax:712-266-0709
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06323225100000X
AZLPT-30373225100000X
IA092379225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist