Provider Demographics
NPI:1558184291
Name:ZEAL PERFORMANCE THERAPY LLC
Entity type:Organization
Organization Name:ZEAL PERFORMANCE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:ASHURST
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT, DPT, COMT
Authorized Official - Phone:334-322-5668
Mailing Address - Street 1:169 OXMOOR RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5969
Mailing Address - Country:US
Mailing Address - Phone:205-291-8512
Mailing Address - Fax:
Practice Address - Street 1:169 OXMOOR RD STE 101
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-5969
Practice Address - Country:US
Practice Address - Phone:205-291-8512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy