Provider Demographics
NPI:1063482750
Name:GIRTHOFFER, ZACHARY J (DPT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:J
Last Name:GIRTHOFFER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9336 TOMAHAWK BLVD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-2759
Mailing Address - Country:US
Mailing Address - Phone:402-558-1299
Mailing Address - Fax:
Practice Address - Street 1:2740 N CLARKSON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-7716
Practice Address - Country:US
Practice Address - Phone:402-721-0235
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22812251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic