Provider Demographics
NPI:1699925115
Name:PRICE, GEOFFREY SCOTT (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:SCOTT
Last Name:PRICE
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 CLEAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-9249
Mailing Address - Country:US
Mailing Address - Phone:214-697-4301
Mailing Address - Fax:
Practice Address - Street 1:2815 CLEAR CREEK DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-9249
Practice Address - Country:US
Practice Address - Phone:214-697-4301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist