Provider Demographics
NPI:1093896565
Name:KUSHNER, SCOTT F (PT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:F
Last Name:KUSHNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17627 S SUMMIT CANYON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-6952
Mailing Address - Country:US
Mailing Address - Phone:281-550-5656
Mailing Address - Fax:281-550-7496
Practice Address - Street 1:8530 HIGHWAY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2103
Practice Address - Country:US
Practice Address - Phone:281-550-5656
Practice Address - Fax:281-550-7496
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist