Individual
CLINT WAYNE SKOOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3200 SLAUGHTER LN W, AUSTIN, TX 78748-5706
(512) 282-0141
Mailing address
8607 UNITED KINGDOM DR, AUSTIN, TX 78748-6472
(361) 894-4353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2048956
TX
225200000X
Physical Therapy Assistant
Primary
2048956
TX
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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