Individual
KERRY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
105 S RIDGECREST AVE, NIXA, MO 65714-7807
(417) 724-3198
(417) 889-0980
Mailing address
105 S RIDGECREST AVE, NIXA, MO 65714-7807
(417) 724-3198
(417) 889-0980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007028258
MO
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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