Doctor Name: | SCOTT BROWN |
NPI Number: | 1528417185 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CMT |
License Number: | 2134 |
Business Practice Address: | 7590 Fay Ave Suite 520 La Jolla, CA - 920374885 |
Business Phone Number: | 8588768221 |
Business Fax Number: | |
Mailing Address: | 7590 Fay Ave, Suite 520 LA JOLLA |
State: | CA |
Postal Code: | 920374885 |
Phone Number: | 8588768221 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2016 |
NPI Last Update Date: | 06/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |