Provider Demographics
NPI:1700386042
Name:SCHOLTEN, JENNIFER HUGHLETT (PT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:HUGHLETT
Last Name:SCHOLTEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BERKLEY ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1302
Mailing Address - Country:US
Mailing Address - Phone:804-723-2070
Mailing Address - Fax:
Practice Address - Street 1:200 BERKLEY ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-1302
Practice Address - Country:US
Practice Address - Phone:804-363-2687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23058313042251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics