Provider Demographics
NPI:1710327861
Name:SCOTT, KATHLEEN MARIE (MS, ATC)
Entity Type:Individual
Prefix:MISS
First Name:KATHLEEN
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS, ATC
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Mailing Address - Street 1:18331 ROEHAMPTON DR
Mailing Address - Street 2:APT 333
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5154
Mailing Address - Country:US
Mailing Address - Phone:972-532-8821
Mailing Address - Fax:
Practice Address - Street 1:18331 ROEHAMPTON DR
Practice Address - Street 2:APT 333
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5154
Practice Address - Country:US
Practice Address - Phone:972-532-8821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2016-06-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer