Doctor Name: | MR. JEROME E SCANLON |
NPI Number: | 1760546139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | |
Business Practice Address: | 22007 Marine View Dr S Suite 203 Des Moines, WA - 981986259 |
Business Phone Number: | 2065920568 |
Business Fax Number: | 2065920583 |
Mailing Address: | 22007 Marine View Dr S, Suite 203 DES MOINES |
State: | WA |
Postal Code: | 981986259 |
Phone Number: | 2065920568 |
Fax Number: | 2065920583 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
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 |