Healthcare Provider Details

I. General information

NPI: 1720531619
Provider Name (Legal Business Name): LAURA KRAICH SCOTT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 ST JOHN RD STE 120
FLETCHER NC
28732-8334
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 828-483-6481
  • Fax:
Mailing address:
  • Phone: 423-702-4389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP16491
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: