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NPI Code Detail

MEDICARE: DANIEL SCRIBNER DPT

MEDICARE: DANIEL SCRIBNER DPT
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
12255A2300XAthletic Trainer2016024410MO
2225100000XPhysical Therapist2021038885MO

General Provider Information

NPI Number : 1780033969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL SCRIBNER DPT
Provider Business Mailing Address
First Line : 4273 KEATON CROSSING BLVD
Second Line :
City : O FALLON
State : MO
Zip : 63368-8220
Country : US
Telephone Number : 636-206-6540
Fax Number :
Provider Business Practice Location Address
First Line : 1348 BASS PRO DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2461
Country : US
Telephone Number : 636-757-5075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2016
Last Update Date : 09/28/2021

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