Provider Demographics
NPI:1194472019
Name:SCOTT, TERRY ANN (MD)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:ANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1912
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-1912
Mailing Address - Country:US
Mailing Address - Phone:720-447-0603
Mailing Address - Fax:866-348-4215
Practice Address - Street 1:501 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-8460
Practice Address - Country:US
Practice Address - Phone:720-447-0603
Practice Address - Fax:866-348-4215
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach