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NPI Code Detail

MEDICARE: AMY J SCOTTINO LMT, MTI

MEDICARE: AMY J SCOTTINO LMT, MTI
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
1225700000XMassage TherapistMT119695TX

General Provider Information

NPI Number : 1598246712
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY J SCOTTINO LMT, MTI
Provider Business Mailing Address
First Line : 3700 WEST 15TH STREET
Second Line : #310A
City : PLANO
State : TX
Zip : 75075
Country : US
Telephone Number : 972-654-2341
Fax Number : 972-401-5939
Provider Business Practice Location Address
First Line : 2121 W SPRING CREEK PKWY STE 111
Second Line :
City : PLANO
State : TX
Zip : 75023-4527
Country : US
Telephone Number : 972-741-0996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2018
Last Update Date : 12/16/2021

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