Provider Demographics
NPI:1649968439
Name:SCOBEE, BRIDGET (LMT)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:SCOBEE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483
Mailing Address - Country:US
Mailing Address - Phone:330-394-7246
Mailing Address - Fax:
Practice Address - Street 1:807 30TH ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44714-1404
Practice Address - Country:US
Practice Address - Phone:330-491-0381
Practice Address - Fax:330-491-0388
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.025731225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist