Individual
MR. PHILLIP SCOTT ROSS
Active
Individual
MR. PHILLIP SCOTT ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
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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