Doctor Name: | SCOTT W JENNINGS |
NPI Number: | 1396815189 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | PT 20679 |
Business Practice Address: | 1111 E Stanley Blvd Bldg B, Suite112 Livermore, CA - 945504115 |
Business Phone Number: | 8009198090 |
Business Fax Number: | 9252430127 |
Mailing Address: | 854 Malibu Dr, CONCORD |
State: | CA |
Postal Code: | 945182671 |
Phone Number: | 9259691628 |
Fax Number: | 9259691628 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 20679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |