Provider Demographics
NPI:1952610750
Name:SCOVILL, KATHRYN E (PT)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:E
Last Name:SCOVILL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WALKER HILL ST
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-5484
Mailing Address - Country:US
Mailing Address - Phone:931-787-1715
Mailing Address - Fax:931-218-6996
Practice Address - Street 1:129 WALKER HILL ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-5484
Practice Address - Country:US
Practice Address - Phone:931-787-1715
Practice Address - Fax:931-218-6996
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA00345000225100000X
TN14385225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist