Provider Demographics
NPI:1306962154
Name:SCHENKER, SCOTT MICHAEL (MS, ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:MICHAEL
Last Name:SCHENKER
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 GARVIN ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3347
Mailing Address - Country:US
Mailing Address - Phone:813-728-5244
Mailing Address - Fax:407-206-1928
Practice Address - Street 1:901 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3233
Practice Address - Country:US
Practice Address - Phone:407-206-1900
Practice Address - Fax:407-206-1928
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer