Provider Demographics
NPI:1639115017
Name:NIER, SCOTT CONRAD (PT)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:CONRAD
Last Name:NIER
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 1:3195 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-1641
Mailing Address - Country:US
Mailing Address - Phone:215-489-0240
Mailing Address - Fax:
Practice Address - Street 1:3195 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-1641
Practice Address - Country:US
Practice Address - Phone:215-489-0240
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002619E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist