Timothy Scott Davis ATC,PTA

NPI 1245353325 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1245353325
Gender Male
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
900 N WASHINGTON ST
DU QUOIN IL, 62832-1230, US
Phone (618) 542-2146
Fax
Business Location
935 IRIS LN
DU QUOIN IL, 62832-3820, US
Phone (618) 542-4241
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State
License Number
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According to our database, Mr. Timothy Scott Davis ATC,PTA NPI is 1245353325, taxonomy code is 2255A2300X Timothy Scott Davis ATC,PTA physically located at 900 N Washington St, Du Quoin IL, 62832-1230. NPI Number Timothy Scott Davis ATC,PTA has the Individual type.

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1245353325 NPI number is provided on an as is basis without warranty of any kind. 1245353325 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Scott Davis ATC,PTA are for informational purposes only.