Individual
MR. SCOTT MICHAEL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
711 W 11TH AVE, PINE BLUFF, AR 71601-4850
(870) 543-4293
Mailing address
6824 NEVINS RD, PINE BLUFF, AR 71603-8508
(870) 550-8886
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT106
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT106
ATHLETIC TRAINER
AR
Enumeration date
06/27/2006
Last updated
01/30/2014
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