Individual
SCOTT DEREK MATHYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
2011 HIGHWAY K, O FALLON, MO 63366-3965
(636) 379-5934
(636) 980-1059
Mailing address
2011 HIGHWAY K, O FALLON, MO 63366-3965
(636) 379-5934
(636) 980-1059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112431
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160876
BLUECROSS BLUESHIELD
MO
01
—
2576722
UNITED HEALTHCARE
MO
01
—
375245
HEALTHLINK
MO
Enumeration date
09/21/2006
Last updated
07/08/2007
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