Provider Demographics
NPI:1306385703
Name:ARNDT, HANNAH SCROGGINS (ATC)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:SCROGGINS
Last Name:ARNDT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:BRITTNEY
Other - Last Name:SCROGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:5821 SAN AMARO DR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2402
Mailing Address - Country:US
Mailing Address - Phone:305-284-4936
Mailing Address - Fax:
Practice Address - Street 1:5821 SAN AMARO DR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2402
Practice Address - Country:US
Practice Address - Phone:305-284-4936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 38832255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer