Individual
MAKENNA LEE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E DECATUR ST, BROKEN ARROW, OK 74011-3585
(918) 520-0826
Mailing address
205 E DECATUR ST, BROKEN ARROW, OK 74011-3585
(918) 520-0826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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