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Individual

MR. PHILLIP SCOTT ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
309 MAIN ST, RED BOILING SPRINGS, TN 37150-2149
(270) 255-1192
Mailing address
309 MAIN ST, RED BOILING SPRINGS, TN 37150-2149
(270) 255-1192

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9487
TN
225100000X
Physical Therapist
PT003345
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000487013
ANTHEM
KY
Enumeration date
06/19/2006
Last updated
10/23/2012
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