Provider Demographics
NPI:1841543006
Name:ZEIGLER, JAYSON WALTER VANCE (OTR/L)
Entity type:Individual
Prefix:
First Name:JAYSON
Middle Name:WALTER VANCE
Last Name:ZEIGLER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 BEES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6603
Mailing Address - Country:US
Mailing Address - Phone:843-556-1070
Mailing Address - Fax:843-556-6742
Practice Address - Street 1:6635 E 21ST ST STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-2252
Practice Address - Country:US
Practice Address - Phone:317-608-2824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4030225X00000X
IN31006104A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist