Provider Demographics
NPI:1144749383
Name:ARCENEAUX, SCOTT A (ATC,LAT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:ARCENEAUX
Suffix:
Gender:M
Credentials:ATC,LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38858 LA HWY. 16
Mailing Address - Street 2:38858 LA HWY. 16
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706
Mailing Address - Country:US
Mailing Address - Phone:225-315-8110
Mailing Address - Fax:
Practice Address - Street 1:12035 HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:SAINT AMANT
Practice Address - State:LA
Practice Address - Zip Code:70774-3413
Practice Address - Country:US
Practice Address - Phone:225-391-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAJ001472255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer