Provider Demographics
NPI:1053183020
Name:MUYE, ZACHARY ADAM (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:ADAM
Last Name:MUYE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9433 DEWEY RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16441-2415
Mailing Address - Country:US
Mailing Address - Phone:814-528-6109
Mailing Address - Fax:
Practice Address - Street 1:4247 W RIDGE RD STE 104
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-1746
Practice Address - Country:US
Practice Address - Phone:814-833-7249
Practice Address - Fax:814-838-2661
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-24
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WATX61505966225100000X
PAPT031585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist