MEDICARE: TANYA G SCOTT MSA PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305002633	VA

General Provider Information

NPI Number	:	1154363760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA G SCOTT MSA PT

Provider Business Mailing Address
First Line	:	3620 AUTUMN GLEN LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 DABBS HOUSE RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-2604
Country	:	US
Telephone Number	:	804-218-8215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	07/28/2023

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