| Doctor Name: | MR. SCOTT DAVID MACDONALD |
| NPI Number: | 1225044183 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 5501002672 |
| Business Practice Address: | 11301 Commerce Dr Suite B Allendale, MI - 494018200 |
| Business Phone Number: | 6164437673 |
| Business Fax Number: | |
| Mailing Address: | 12118 92nd Ave, WEST OLIVE |
| State: | MI |
| Postal Code: | 494609634 |
| Phone Number: | 6168924620 |
| Fax Number: | 8156424733 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251E1200X |
| License Number: | 5501002672 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |