SCOTT DAVIS

BLOOMER, WI
NPI1336365618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  417-019)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
-- SCOTT DAVIS PTA
1402 MAIN ST
BLOOMER, WI 54724-1637
Phone number: 715-568-4669
Mailing Address
-- SCOTT DAVIS PTA
4177 144TH ST
CHIPPEWA FALLS, WI 54729-7800
Phone number: 715-726-9429