Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 01872 | MO |
NPI | 1003271487 |
---|---|
Provider Name | Dr. Scott Lawrence Jones |
First Address | Kansas City, MO 64114-1761 |
Second Address | Kansas City, MO 64114-1761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2015 |
Last Update Date | 29/12/2015 |