Provider Demographics
NPI:1255190278
Name:SCALF, JOSHUA ISAAC
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ISAAC
Last Name:SCALF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4230
Mailing Address - Country:US
Mailing Address - Phone:423-765-1611
Mailing Address - Fax:423-765-1612
Practice Address - Street 1:110 E CENTER ST
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4230
Practice Address - Country:US
Practice Address - Phone:423-765-1611
Practice Address - Fax:423-765-1612
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist