Healthcare Provider Details

I. General information

NPI: 1003741497
Provider Name (Legal Business Name): SCOTT PALMER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 N GLENWOOD AVE STE 2
DALTON GA
30721-2603
US

IV. Provider business mailing address

1232 REEVES AVE
CHATTANOOGA TN
37412-1126
US

V. Phone/Fax

Practice location:
  • Phone: 706-370-5840
  • Fax:
Mailing address:
  • Phone: 973-224-4216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17140
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: