Provider Demographics
NPI:1225761711
Name:ZAVALA-RODRIGUEZ, CESAR LUIS (MAT, LAT, ATC)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:LUIS
Last Name:ZAVALA-RODRIGUEZ
Suffix:
Gender:M
Credentials:MAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GRIZZAFFI ST TRLR 31
Mailing Address - Street 2:
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-2361
Mailing Address - Country:US
Mailing Address - Phone:985-255-8065
Mailing Address - Fax:
Practice Address - Street 1:2400 TIGER DR
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1051
Practice Address - Country:US
Practice Address - Phone:985-384-1754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-02
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer