Provider Demographics
NPI:1699720490
Name:SCOTT, JOHN W (RKT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:SCOTT
Suffix:
Gender:M
Credentials:RKT
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Mailing Address - Street 1:716 NORA LN
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5520
Mailing Address - Country:US
Mailing Address - Phone:972-230-0576
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-1293
Practice Address - Fax:214-857-1281
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist