Healthcare Provider Details

I. General information

NPI: 1760841381
Provider Name (Legal Business Name): ARLIANNE REYLEEN SCOTT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2016
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 HARPER DR NE STE 200
ALBUQUERQUE NM
87109-3573
US

IV. Provider business mailing address

108 VELARDE RD NW
ALBUQUERQUE NM
87107-6031
US

V. Phone/Fax

Practice location:
  • Phone: 505-858-8526
  • Fax: 505-858-8570
Mailing address:
  • Phone: 915-422-1228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4785
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: