Provider Demographics
NPI:1003512898
Name:SCOTT, LISA HELEN YOUNG (LPTA)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:HELEN YOUNG
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 38TH STREET DR NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-7727
Mailing Address - Country:US
Mailing Address - Phone:828-391-7544
Mailing Address - Fax:
Practice Address - Street 1:307 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-6928
Practice Address - Country:US
Practice Address - Phone:828-433-6184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC828225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant