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NPI Code Detail

MEDICARE: SCOTT PETERS MPT

MEDICARE:   SCOTT  PETERS  MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist11-03768KS
2225100000XPhysical TherapistIL

General Provider Information

NPI Number : 1184768335
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT PETERS MPT
Provider Business Mailing Address
First Line : 1931 BURLINGTON ST
Second Line :
City : N KANSAS CITY
State : MO
Zip : 64116-3407
Country : US
Telephone Number : 816-241-2131
Fax Number : 816-241-0551
Provider Business Practice Location Address
First Line : 1931 BURLINGTON ST
Second Line :
City : N KANSAS CITY
State : MO
Zip : 64116-3407
Country : US
Telephone Number : 816-241-2131
Fax Number : 816-241-0551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 01/08/2008

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Directions to “ SCOTT PETERS MPT” Practice Location

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