Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shaun C Scissom

Individual provider Physical Therapist · NPI 1750848214

Shaun C Scissom is a Physical Therapist in Bozeman, Montana. Practices as a sole proprietor. Licensed in Montana and Virginia.

Licensed in
MT, VA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1 Bobcat Cir
Bozeman, MT 59715
Phone: (406) 414-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTP-PT-LIC-27322 (MT)
Physical Therapist Taxonomy 225100000X · Licence 2305212609 (VA)

Record details

NPI number1750848214
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2019
Last updated in NPPESApril 9, 2025
Certification dateApril 3, 2025

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