Provider Demographics
NPI:1437758612
Name:SCOTT, DINA Y (PERSONAL TRAINER)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:Y
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PERSONAL TRAINER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CRESTMOOR DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5387
Mailing Address - Country:US
Mailing Address - Phone:121-468-3688
Mailing Address - Fax:
Practice Address - Street 1:107 N GREENVILLE AVE STE B
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-9161
Practice Address - Country:US
Practice Address - Phone:214-683-1346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2070062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer