Provider Demographics
NPI:1427109669
Name:ALLEE, SCOTT (LPT)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:ALLEE
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 W KING AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-5438
Mailing Address - Country:US
Mailing Address - Phone:361-592-6142
Mailing Address - Fax:361-592-6143
Practice Address - Street 1:323 W KING AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-5438
Practice Address - Country:US
Practice Address - Phone:361-592-6142
Practice Address - Fax:361-592-6143
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11222812251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T4145OtherBCBS
TX00737VMedicare ID - Type UnspecifiedMEDICARE GROUP