Provider Demographics
NPI:1437211570
Name:HEYNE, SCOTT K (RPT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:K
Last Name:HEYNE
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:K
Other - Last Name:HEYNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:202 CLAYTON CT
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-4790
Mailing Address - Country:US
Mailing Address - Phone:256-386-5253
Mailing Address - Fax:
Practice Address - Street 1:202 CLAYTON CT
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-4790
Practice Address - Country:US
Practice Address - Phone:256-386-5253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist