Provider Demographics
NPI:1730316258
Name:SCOTT, MARCHELLA (LMT)
Entity Type:Individual
Prefix:
First Name:MARCHELLA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 SANTA FE DR
Mailing Address - Street 2:#19
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3975
Mailing Address - Country:US
Mailing Address - Phone:720-309-7904
Mailing Address - Fax:
Practice Address - Street 1:910 SANTA FE DR
Practice Address - Street 2:#19
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3975
Practice Address - Country:US
Practice Address - Phone:720-309-7904
Practice Address - Fax:719-362-4203
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT-7386174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist