Provider Demographics
NPI:1003240292
Name:SCOTT D. CHRISTENSEN DPT. PLLC
Entity Type:Organization
Organization Name:SCOTT D. CHRISTENSEN DPT. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:385-498-3757
Mailing Address - Street 1:358 N 1100 E # 4
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-3250
Mailing Address - Country:US
Mailing Address - Phone:385-498-3757
Mailing Address - Fax:801-477-6092
Practice Address - Street 1:358 N 1100 E # 4
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-3250
Practice Address - Country:US
Practice Address - Phone:385-498-3757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-24
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2554261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy