Individual provider · NPI-1
Scott D Kingsbury, Orthopedic Therapist
Reflexologist · Melbourne, FL
NPI number1902245541
StatusActive
Last updated in NPPESJun 17, 2013
Details
- NPI
- 1902245541
- Entity type
- Individual (NPI-1)
- Name
- Scott D Kingsbury
- Credential
- Orthopedic Therapist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2013
- Last updated
- Jun 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 173C00000X | Reflexologist | MA30910 | FL | Yes |
| 174H00000X | Health Educator | MA30910 | FL |
Practice location
1300 Croton RdMelbourne, FL 32935-3164
Phone 321-693-3879
Mailing address
1300 Croton RdP.O. Box 360654
Melbourne, FL 32935-3164
Phone 321-693-3879
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