Stacey L Scanlan in Boise - Physical Therapist
Stacey L Scanlan - NPI 1689756603
Stacey L Scanlan is a Physical Therapist in Boise, Idaho. Stacey L Scanlan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stacey L Scanlan is 1689756603. The last update date is 2011-10-07.
Stacey L Scanlan's current location address is 2302 N Bogus Basin Road, Boise, Idaho. You can contact this provider via phone number 2083440737 and fax number 2083440759. The mailing address for Stacey L Scanlan is 2302 N Bogus Basin Road, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey L Scanlan |
|---|---|
| Address | 2302 N Bogus Basin Road, Boise, Idaho |
| Phone Number | 2083440737 |
| Fax Number | 2083440759 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1689756603 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2011-10-07 |
Provider Mailing Address Detail
| Address | 2302 N Bogus Basin Road |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83702 |
| Phone Number | 2083440737 |
| Fax Number | 2083440759 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT1355 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102560035 | ID | -- | |
| 1578799094 | THRIVE PT AND PILATES GROUP NP |
Post Comment/ Review Below
What is the unique identification code assigned to Stacey L Scanlan by the Centers for Medicare & Medicaid Services?
The Stacey L Scanlan has been issued the NPI (National Provider Identifier) 1689756603. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stacey L Scanlan is physically located?
The Stacey L Scanlan is situated at the following address: 2302 N Bogus Basin Road, Boise, ID 83702.
What is Stacey L Scanlan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacey L Scanlan's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689756603 to Stacey L Scanlan?
The Centers for Medicare & Medicaid Services originally issued the 1689756603 to Stacey L Scanlan on 2006-10-19.
As of what date were the details related to Stacey L Scanlan most recently updated or revised?
The information pertaining to Stacey L Scanlan, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY