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NPI Code Detail

MEDICARE: JENNIFER L SCOTT PT

MEDICARE: JENNIFER L SCOTT PT
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
1225100000XPhysical Therapist8672TN

General Provider Information

NPI Number : 1356654669
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L SCOTT PT
Provider Business Mailing Address
First Line : 2410 CHRIS DR
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-5538
Country : US
Telephone Number : 931-216-4178
Fax Number :
Provider Business Practice Location Address
First Line : 650 JOEL DR
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223-8355
Country : US
Telephone Number : 931-216-4178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 04/17/2026

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