DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY WILLIAM SCANLON, PT, DPT, CSCS

Active

DR. TIMOTHY WILLIAM SCANLON, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in KINGMAN, Arizona. NPI 1619611076 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KINGMAN, AZ

Registration Details

NPI Number
1619611076
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2022 (4.2779228497959 yrs)
Last Updated
May 2, 2022
Licenses
4395 (NV)
LPT-31500 (AZ)

Practice Information

Address
3801 SANTA ROSA DR
KINGMAN, AZ, 864012311
Browse AZ providers · Browse ZIP 86401
Phone
9286818732
Fax
9286818733
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in KINGMAN, AZ

Name Credential NPI
MS. CAROL SUE LETNER D.P.T. 1861443236
JOANNE L REED PT 1952357683
MR. DUSTIN RAY BRISCO PT 1538243183
MRS. KIMBERLY ANN BRISCO PT 1124102785
KIMBERLEY KIEL DEERING PT 1235290529
LISA A ALEXANDER PT 1225232390
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.