Provider Demographics
NPI:1366741407
Name:SCOTT, CHRISTI (RPT)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 CAMELOT DR
Mailing Address - Street 2:APT 36
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-5657
Mailing Address - Country:US
Mailing Address - Phone:540-345-1418
Mailing Address - Fax:
Practice Address - Street 1:915 CAMELOT DR
Practice Address - Street 2:APT 36
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-5657
Practice Address - Country:US
Practice Address - Phone:540-345-1418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206803225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist