Provider Demographics
NPI:1881997542
Name:SENNE, SCOTT CRAIG (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:CRAIG
Last Name:SENNE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13550 REFLECTION LAKES PARKWAY
Mailing Address - Street 2:SUITE 5-504
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907
Mailing Address - Country:US
Mailing Address - Phone:239-225-2207
Mailing Address - Fax:239-225-2207
Practice Address - Street 1:13550 REFLECTION LAKES PARKWAY
Practice Address - Street 2:SUITE 5-504
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907
Practice Address - Country:US
Practice Address - Phone:239-225-2207
Practice Address - Fax:239-225-2207
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor