Individual
DR. PAYTON MICHAEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, LAT, AC
Contact information
Practice address
4900 BEANER BLVD, GAS CITY, IN 46933-9788
(765) 573-0725
Mailing address
2865 E EASTRIDGE DR, MARION, IN 46953-5615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015449A
IN
225200000X
Physical Therapy Assistant
06005059A
IN
2255A2300X
Athletic Trainer
36002941A
IN
Other
Enumeration date
09/12/2017
Last updated
05/31/2024
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