Healthcare Provider Details

I. General information

NPI: 1285578526
Provider Name (Legal Business Name): SCOTT CHIROPRACTIC PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7065 N CHESTNUT AVE STE 101
FRESNO CA
93720-0355
US

IV. Provider business mailing address

7065 N CHESTNUT AVE STE 101
FRESNO CA
93720-0355
US

V. Phone/Fax

Practice location:
  • Phone: 559-478-5833
  • Fax: 559-439-7847
Mailing address:
  • Phone: 559-478-5833
  • Fax: 559-439-7847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW TODD SCOTT
Title or Position: CEO
Credential: DC
Phone: 559-478-5833