MEDICARE: SCOTT VARILEK 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
1	225100000X	Physical Therapist	005238	IA
2	225100000X	Physical Therapist	1719	SD
3	225100000X	Physical Therapist	3299	NE

General Provider Information

NPI Number	:	1992101851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT VARILEK PT

Provider Business Mailing Address
First Line	:	3439 GLEN OAKS BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1761
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3439 GLEN OAKS BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1761
Country	:	US
Telephone Number	:	712-277-8295
Fax Number	:

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

Provider Enumeration Date	:	11/05/2014
Last Update Date	:	11/05/2014

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Directions to “ SCOTT VARILEK PT” Practice Location

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