Provider Demographics
NPI:1649902644
Name:SCOTCH, NANCY KATHERINE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:KATHERINE
Last Name:SCOTCH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 SUN BEAM WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6443
Mailing Address - Country:US
Mailing Address - Phone:301-956-3163
Mailing Address - Fax:
Practice Address - Street 1:2625 SUN BEAM WAY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6443
Practice Address - Country:US
Practice Address - Phone:301-956-3163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11353225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist