Provider Demographics
NPI:1760616486
Name:SCOTT, MARILEE ELIZABETH (ATC)
Entity Type:Individual
Prefix:MRS
First Name:MARILEE
Middle Name:ELIZABETH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:ATC
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Mailing Address - Street 1:118 BENNETT DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-2052
Mailing Address - Country:US
Mailing Address - Phone:207-498-6334
Mailing Address - Fax:207-493-3247
Practice Address - Street 1:118 BENNETT DR
Practice Address - Street 2:SUITE 140
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2052
Practice Address - Country:US
Practice Address - Phone:207-498-6334
Practice Address - Fax:207-493-3247
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2016-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MEAT#3272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer