Healthcare Provider Details

I. General information

NPI: 1043344161
Provider Name (Legal Business Name): KORINA SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KORINA WOODS P.T.

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8020 W SAHARA AVE STE 160
LAS VEGAS NV
89117-7917
US

IV. Provider business mailing address

8020 W SAHARA AVE STE 160
LAS VEGAS NV
89117-7917
US

V. Phone/Fax

Practice location:
  • Phone: 702-595-5437
  • Fax: 702-425-2787
Mailing address:
  • Phone: 702-595-5437
  • Fax: 702-425-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number1678
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: