Individual ProviderZachary Thomas EenhuisPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492(763) 520-7870(952) 512-5600PECOS EnrollmentBased on the most recent information from CMS, provider Zachary Thomas Eenhuis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487144762Provider TypeIndividualFull NameEenhuis, Zachary ThomasCredentialPTGenderMaleSole ProprietorNoEnumeration Date5/13/2018Last Updated8/10/2023Contact InformationPractice LocationPractice Address9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492Phone(763) 520-7870Fax(763) 520-7580Mailing LocationMailing Address4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841Phone(952) 512-5600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12765MinnesotaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT019954Ohio