Provider Demographics
NPI:1851335343
Name:PARKER, SCOTT ANDREW (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ANDREW
Last Name:PARKER
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Gender:M
Credentials:MS, ATC
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Mailing Address - Street 1:2061 PEAR TREE CT
Mailing Address - Street 2:APT. #11
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-2111
Mailing Address - Country:US
Mailing Address - Phone:573-270-3258
Mailing Address - Fax:573-986-6156
Practice Address - Street 1:1 UNIVERSITY PLZ
Practice Address - Street 2:MS 7000
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4710
Practice Address - Country:US
Practice Address - Phone:573-651-2451
Practice Address - Fax:573-986-6156
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20050280462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer