Doctor Name: | MISS SCOTT O ENSIGN |
NPI Number: | 1205814266 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT JSCC |
License Number: | PT00006701 |
Business Practice Address: | 5205 Corporate Center Ct Se Suite C Lacey, WA - 985035901 |
Business Phone Number: | 3604121367 |
Business Fax Number: | 3604121391 |
Mailing Address: | 5205 Corporate Center Ct Se, Suite C LACEY |
State: | WA |
Postal Code: | 985035901 |
Phone Number: | 3604121368 |
Fax Number: | 3604121391 |
NPI Enumeration Date: | 01/09/2006 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00006701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |