Individual
SCOTT BILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
703 AMERICANA BLVD, STE 130, BOISE, ID 83702
(208) 706-7530
(208) 706-7531
Mailing address
924 N YARMOUTH PL, EAGLE, ID 83616-5383
(208) 447-6950
(208) 706-7530
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT953
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT953
PT LISCENSE
ID
Enumeration date
12/02/2013
Last updated
12/02/2013
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