Provider Demographics
NPI:1346662442
Name:SCOTT, CHRISTOPHER T (PT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:T
Last Name:SCOTT
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:PO BOX 219672
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9672
Mailing Address - Country:US
Mailing Address - Phone:816-628-4409
Mailing Address - Fax:816-628-5783
Practice Address - Street 1:305 S PLATTE CLAY WAY
Practice Address - Street 2:STE A
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060-8214
Practice Address - Country:US
Practice Address - Phone:816-628-4409
Practice Address - Fax:816-628-5783
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105639225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist