Provider Demographics
NPI:1669617130
Name:MORRISON, SCOTT (MED, ATC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MED, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1205
Mailing Address - Country:US
Mailing Address - Phone:412-366-2616
Mailing Address - Fax:
Practice Address - Street 1:520 ROUTE 228
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3124
Practice Address - Country:US
Practice Address - Phone:724-625-9380
Practice Address - Fax:724-625-4541
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0042352255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer