National Provider Identifier
Scott R Walters, CPED
Scott R Walters, CPED is listed in the NPPES registry with a primary specialty of Pedorthist in Rochester, NY and a listed phone number of (585) 473-5950.
Profile Overview
- NPI
- 1295365120
- Provider Type
- Individual
- Primary Specialty
- Pedorthist
- Enumeration Date
- January 20, 2020
- Last Updated
- January 20, 2020
Practice Location
- 3385 Brighton Henrietta Town Line RD
- Rochester, NY 14623-2813
Phone: (585) 473-5950
Mailing Address
- 1993 Kendall RD
- Kendall, NY 14476-9776
Specialties
- Pedorthist (224L00000X)
Full Record
- NPI
- 1295365120
- Entity Type
- Individual
- Last Name
- Walters
- First Name
- Scott
- Middle Name
- R
- Name Prefix
- Mr.
- Credential
- CPED
- Mailing Street Address
- 1993 Kendall RD
- Mailing City
- Kendall
- Mailing State
- NY
- Mailing ZIP Code
- 14476-9776
- Mailing Country
- US
- Mailing Phone
- (810) 730-1942
- Practice Street Address
- 3385 Brighton Henrietta Town Line RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2813
- Practice Country
- US
- Practice Phone
- (585) 473-5950
- Practice Fax
- (585) 473-9596
- Enumeration Date
- January 20, 2020
- Last Updated
- January 20, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pedorthist (224L00000X)