Individual
MR. SCOTT ALAN CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.,LAT
Contact information
Practice address
8907 KANIS RD, SUITE NUMBER 300, LITTLE ROCK, AR 72205-6449
(501) 227-9994
Mailing address
5 KELLI CT, MABELVALE, AR 72103-2219
(501) 351-1171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 282
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
22 RESPIRATORY, REHABILATATIVE AND RESTORATIVE PROVIDER
AR
Enumeration date
11/09/2011
Last updated
11/09/2011
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