Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORNELIUS JIM SCANLON
ActivePhysical Therapy Assistant · SHOW LOW, AZ
Registration Details
- NPI Number
- 1871522656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2006 (19.806696354222 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
2650 E SHOW LOW LAKE RDSTE 3SHOW LOW, AZ, 859017955Browse AZ providers · Browse ZIP 85901
- Phone
- 9285378196
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SHOW LOW, AZ
| Name | Credential | NPI |
|---|---|---|
| EMIL PALENSAR | PT | 1083661573 |
| MILTON GREGORY RANDALL | P.T. | 1255376240 |
| MICHAEL L JOHNSON | P.T. | 1871525725 |
| RANDY WHITTLE | — | 1164454047 |
| TAMI BONEBRAKE | — | 1144252032 |
| MS. ELIZABETH R. LOFFSWOLD | PT | 1205856812 |
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.