Individual
SCOTT ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
PO BOX 5327, MISSISSIPPI STATE, MS 39762-5327
(402) 541-6807
Mailing address
1087 STARK RD APT 5C, STARKVILLE, MS 39759-3512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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