Provider Demographics
NPI:1740252303
Name:HOLLIER, SCOTT (PYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:HOLLIER
Suffix:
Gender:M
Credentials:PYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-4044
Mailing Address - Country:US
Mailing Address - Phone:337-893-3354
Mailing Address - Fax:337-893-1538
Practice Address - Street 1:2645 SOUTH DR
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4044
Practice Address - Country:US
Practice Address - Phone:337-893-3354
Practice Address - Fax:337-893-1538
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA00302225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5940662OtherAETNA US HEALTHCARE
LA640033OtherUNITEDHEALTHCARE
GA650006815OtherPALMETTO GBA RAILROAD MED
LALS0260017OtherTRICARE
LA5940662OtherAETNA US HEALTHCARE