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NPI Code Detail

MEDICARE: KEYLEE NICOLE SCOTT PTA

MEDICARE: KEYLEE NICOLE SCOTT PTA
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
1225200000XPhysical Therapy Assistant5236TN

General Provider Information

NPI Number : 1225458292
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEYLEE NICOLE SCOTT PTA
Provider Business Mailing Address
First Line : 3916 BOYDS BRIDGE PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37914-6233
Country : US
Telephone Number : 865-524-1500
Fax Number :
Provider Business Practice Location Address
First Line : 3916 BOYDS BRIDGE PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37914-6233
Country : US
Telephone Number : 865-524-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 04/17/2014

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Directions to “ KEYLEE NICOLE SCOTT PTA” Practice Location

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