Individual
JOSEPH SCOTT BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2350 NW CENTURY DR STE 100, CORVALLIS, OR 97330-3495
(541) 754-1265
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3758
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10222854
OR
2255A2300X
Athletic Trainer
AT8282
TX
Other
Enumeration date
07/16/2020
Last updated
06/17/2022
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