Doctor Name: | SCOTT CHRISTOPHER BURGESS |
NPI Number: | 1205858438 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2350 |
Business Practice Address: | 130 Goff Mountain Rd Cross Lanes, WV - 253131419 |
Business Phone Number: | 3043887055 |
Business Fax Number: | 3043887508 |
Mailing Address: | 415 Morris St, Suite 304 CHARLESTON |
State: | WV |
Postal Code: | 253011842 |
Phone Number: | 3043887782 |
Fax Number: | 3043887788 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |