Provider Demographics
NPI:1669493300
Name:SCOTT, JEREMY BRENT (DC)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:BRENT
Last Name:SCOTT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 STATE ST
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2939
Mailing Address - Country:US
Mailing Address - Phone:256-383-6238
Mailing Address - Fax:256-383-6234
Practice Address - Street 1:725 STATE ST
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2939
Practice Address - Country:US
Practice Address - Phone:256-383-6238
Practice Address - Fax:256-383-6234
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor