Provider Demographics
NPI:1467025338
Name:MANESS, SCOTT (ND)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:MANESS
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SHADOWWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:OVILLA
Mailing Address - State:TX
Mailing Address - Zip Code:75154-1426
Mailing Address - Country:US
Mailing Address - Phone:214-395-8180
Mailing Address - Fax:
Practice Address - Street 1:420 SHADOWWOOD TRL
Practice Address - Street 2:
Practice Address - City:OVILLA
Practice Address - State:TX
Practice Address - Zip Code:75154-1426
Practice Address - Country:US
Practice Address - Phone:214-395-8180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath