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Organization

WAITE REHAB & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT A WAITE M.P.T. (OWNER/PHYSICAL THERAPIST)
(256) 489-2704
Entity
Organization

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
PTH4161
AL
225100000X
Physical Therapist
PTH4164
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790709400
NPI
01
1962737775
NPI
Enumeration date
11/06/2009
Last updated
03/04/2021
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