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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