Provider Demographics
NPI:1912336686
Name:ZACHRY, AARON LEE
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:LEE
Last Name:ZACHRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-4022
Mailing Address - Country:US
Mailing Address - Phone:704-779-8566
Mailing Address - Fax:
Practice Address - Street 1:915 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-4022
Practice Address - Country:US
Practice Address - Phone:704-779-8566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency