MEDICARE: MR. SCOTT HOLLIER PYSICAL THERAPIST

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
1	225100000X	Physical Therapist	00302	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5940662	OTHER	LA	AETNA US HEALTHCARE
2	640033	OTHER	LA	UNITEDHEALTHCARE
3	650006815	OTHER	GA	PALMETTO GBA RAILROAD MED
4	LS0260017	OTHER	LA	TRICARE

General Provider Information

NPI Number	:	1740252303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT HOLLIER PYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	2645 SOUTH DR
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-4044
Country	:	US
Telephone Number	:	337-893-3354
Fax Number	:	337-893-1538

Provider Business Practice Location Address
First Line	:	2645 SOUTH DR
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-4044
Country	:	US
Telephone Number	:	337-893-3354
Fax Number	:	337-893-1538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	03/21/2017

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