Provider Demographics
NPI:1952658692
Name:SCOTT, HEIDI B (PT)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:B
Last Name:SCOTT
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 1:1963 MEMORIAL PKWY SW
Mailing Address - Street 2:ATTEN: OUT PT THERAPY
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5036
Mailing Address - Country:US
Mailing Address - Phone:256-265-7101
Mailing Address - Fax:256-265-6655
Practice Address - Street 1:1963 MEMORIAL PKWY SW
Practice Address - Street 2:ATTEN: OUT PT THERAPY
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5036
Practice Address - Country:US
Practice Address - Phone:256-265-7101
Practice Address - Fax:256-265-6655
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1339225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist