Provider Demographics
NPI:1396779120
Name:SCOTT, RAMONICA ANN (LAT, ATC)
Entity type:Individual
Prefix:MISS
First Name:RAMONICA
Middle Name:ANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5755 TIMBERCAT DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-1745
Mailing Address - Country:US
Mailing Address - Phone:817-980-7883
Mailing Address - Fax:
Practice Address - Street 1:1600 CAMPUS COURT GIB134
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79699-1529
Practice Address - Country:US
Practice Address - Phone:325-674-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT52352255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer