Provider Demographics
NPI:1730360488
Name:SCALES, KATHLEEN M (MSPT)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:M
Last Name:SCALES
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:M
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:49 WALPOLE ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3341
Mailing Address - Country:US
Mailing Address - Phone:781-762-0050
Mailing Address - Fax:781-762-0059
Practice Address - Street 1:49 WALPOLE ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3341
Practice Address - Country:US
Practice Address - Phone:781-762-0050
Practice Address - Fax:781-762-0059
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist