Doctor Name: | MR. SCOTT PHILIP GAUSTAD |
NPI Number: | 1063547222 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 2668 |
Business Practice Address: | 200 W Hospital Drive Whiteriver, AZ - 85941 |
Business Phone Number: | 9283383610 |
Business Fax Number: | 9283383522 |
Mailing Address: | 5444 S Thunder Sky Way, TUCSON |
State: | AZ |
Postal Code: | 857475871 |
Phone Number: | 5203984287 |
Fax Number: | 9283383522 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |