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NPI Code Detail

MEDICARE: ANNALEE SCOTT

MEDICARE: ANNALEE SCOTT
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
1225100000XPhysical Therapist
2225100000XPhysical Therapist125052502401UT

General Provider Information

NPI Number : 1922680404
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNALEE SCOTT
Provider Business Mailing Address
First Line : 1940 S BONITO WAY STE 190
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-5618
Country : US
Telephone Number : 208-287-9420
Fax Number :
Provider Business Practice Location Address
First Line : 1628 W 11010 S STE 101
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84095-1278
Country : US
Telephone Number : 801-613-1890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2021
Last Update Date : 01/27/2023

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Directions to “ ANNALEE SCOTT ” Practice Location

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