Provider Demographics
NPI:1548467608
Name:FELTON, SCOTT MURPHY (LMT)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:MURPHY
Last Name:FELTON
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 HARRISON AVE
Mailing Address - Street 2:SUITE G20
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-3394
Mailing Address - Country:US
Mailing Address - Phone:304-636-5777
Mailing Address - Fax:304-636-5777
Practice Address - Street 1:1200 HARRISON AVE
Practice Address - Street 2:SUITE G20
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3394
Practice Address - Country:US
Practice Address - Phone:304-636-5777
Practice Address - Fax:304-636-5777
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2006-2184225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist