Individual
TODD SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1112 MARIA LN, IUKA, MS 38852-1119
(662) 593-3111
(662) 593-3151
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3346
MS
Other
Enumeration date
01/05/2010
Last updated
08/05/2021
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