Individual
MR. SCOTT MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
411 AIRPORT RD, SULPHUR SPRINGS, TX 75482-2005
(903) 885-1483
Mailing address
613 S AVE D, KERMIT, TX 79745-4822
(432) 586-2072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2-2149-9
TX
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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