Individual
SCOTT A. WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7915 HIGHWAY 72 W, MADISON, AL 35758-9561
(256) 489-2704
Mailing address
7915 HIGHWAY 72 W, MADISON, AL 35758-9561
(256) 489-2704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18990
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532259
BLUE CROSS BLUE SHIELD
AL
05
—
529928640
—
AL
01
—
631283106
TRICARE
—
Enumeration date
07/26/2006
Last updated
03/03/2021
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