Individual
DR. SCOTT WINTERS WALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
606 E CHERRY ST, ROOM 100, SPRINGFIELD, MO 65806-3401
(417) 836-3070
(417) 836-3032
Mailing address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 836-3070
(417) 836-3032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1999135665
MO
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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