Provider Demographics
NPI:1942466602
Name:JEFFREY L. SCOTT
Entity Type:Organization
Organization Name:JEFFREY L. SCOTT
Other - Org Name:ESCAPE MASSAGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LMT NCTMB
Authorized Official - Phone:508-485-2589
Mailing Address - Street 1:11A FLORENCE ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2822
Mailing Address - Country:US
Mailing Address - Phone:508-485-2589
Mailing Address - Fax:
Practice Address - Street 1:11A FLORENCE ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-2822
Practice Address - Country:US
Practice Address - Phone:508-485-2589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4895302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization