Provider Demographics
NPI:1154969343
Name:ZHANG, XINPING (WI)
Entity type:Individual
Prefix:
First Name:XINPING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:WI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 NEW PINERY RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:WI
Mailing Address - Zip Code:53901-9226
Mailing Address - Country:US
Mailing Address - Phone:608-745-9083
Mailing Address - Fax:
Practice Address - Street 1:2939 NEW PINERY RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:WI
Practice Address - Zip Code:53901-9226
Practice Address - Country:US
Practice Address - Phone:608-745-9083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14391-146225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist