Provider Demographics
NPI:1013251438
Name:SCOTT, KATHLEEN M (PT)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:M
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 1:144 MAIN ST.
Mailing Address - Street 2:BOX 45
Mailing Address - City:HARRISVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03450-0045
Mailing Address - Country:US
Mailing Address - Phone:603-827-3444
Mailing Address - Fax:
Practice Address - Street 1:150 RIVERMEAD RD
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03438-1744
Practice Address - Country:US
Practice Address - Phone:603-924-0062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0865225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist