Timothy Scott Zickus, M.P.T.
Physical Therapist in Swansea, IL. Individual provider (NPI-1).
NPI number1609920818
StatusActive
Last updated in NPPESMay 4, 2011
Details
- NPI
- 1609920818
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy Scott Zickus
- Credential
- M.P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2007
- Last updated
- May 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2003011115 | MO | Yes |
Practice location
221 W Pointe DrSuite 1
Swansea, IL 62226-8306
Phone 314-603-8299
Mailing address
3401 Macklind AveSaint Louis, MO 63139-1540
Phone 314-352-0615
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All 23 Physical Therapist providers in Swansea · All 549 providers in Swansea
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