Individual
JUSTIN SCOTT SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
5 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5412
(501) 259-2149
Mailing address
5 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5412
(501) 259-2149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 413
AR
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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