Healthcare Provider Details

I. General information

NPI: 1093629131
Provider Name (Legal Business Name): ABIGAIL MCKENZIE SCOTT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 N MAIN ST STE 2
NORTH LOGAN UT
84341-1530
US

IV. Provider business mailing address

1460 N 1250 E
LOGAN UT
84341-2465
US

V. Phone/Fax

Practice location:
  • Phone: 435-213-9268
  • Fax:
Mailing address:
  • Phone: 435-890-7153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number143037032401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: