MEDICARE: SCOTT S CROOK 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	PT001503	KY

General Provider Information

NPI Number	:	1700835410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT S CROOK PT

Provider Business Mailing Address
First Line	:	460 EAST BRANNON ROAD
Second Line	:
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-9704
Country	:	US
Telephone Number	:	859-887-0599
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 EAST BRANNON ROAD
Second Line	:
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-9704
Country	:	US
Telephone Number	:	859-887-0599
Fax Number	:	859-887-0979

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	06/18/2015

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Directions to “ SCOTT S CROOK PT” Practice Location

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