Provider Demographics
NPI:1043366016
Name:ZECHER, JONATHAN R
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:R
Last Name:ZECHER
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 1:1140 EAGLETREE LANE SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801
Mailing Address - Country:US
Mailing Address - Phone:256-883-0636
Mailing Address - Fax:256-883-0635
Practice Address - Street 1:7061 HWY 72 W
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1727
Practice Address - Country:US
Practice Address - Phone:256-261-3531
Practice Address - Fax:256-715-7889
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3484225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51007355OtherBCBS
AL51007355OtherBCBS