Individual
SELINA VISCETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 N 1ST ST, CENTRAL POINT, OR 97502-2069
(541) 665-8120
Mailing address
73 N 1ST ST, CENTRAL POINT, OR 97502-2069
(541) 665-8120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BAP-TA-10209288
OR
Other
Enumeration date
07/18/2026
Last updated
07/18/2026
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