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Individual

MR. SCOT A TRAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT, MMP

Contact information

Practice address
595 ROUND ROCK WEST DR, SUITE 601, ROUND ROCK, TX 78681-5011
(512) 363-5946
(512) 377-1102
Mailing address
595 ROUND ROCK WEST DR, SUITE 601, ROUND ROCK, TX 78681-5011
(512) 363-5946
(512) 377-1102

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
106199
TX
225700000X
Massage Therapist
106199
TX

Other

Enumeration date
03/12/2013
Last updated
03/12/2013
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