Individual
SCOTT A. WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
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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