Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 13594 | TN |
N | 225100000X | Physical Therapist | PT-23529 | FL |
N | 225100000X | Physical Therapist | PT23529 | FL |
NPI | 1013191568 |
---|---|
Provider Name | Mr. Michael John Zappas |
First Address | Bean Station, TN 37708-0608 |
Second Address | Morristown, TN 37814-5401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 19/10/2021 |