Individual
JASON ALEXANDER SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 853-9702
Mailing address
24713 KATYDID RD, MARYVILLE, MO 64468-8360
(660) 853-9702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.015344
IL
225100000X
Physical Therapist
11-03690
KS
225100000X
Physical Therapist
Primary
2006033826
MO
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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