Blaine Scholes, PTA
NPI 1760122485 · Physical Therapy Assistant · Glen Carbon, IL
Blaine Scholes, PTA is a Physical Therapy Assistant provider in Glen Carbon, IL (NPI 1760122485).
Provider details
- NPI number
- 1760122485
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 160.008256 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-30
- Last updated
- 2022-03-30
- Certified
- 2022-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.