Individual
MR. SCOTT HIROSHI TAKAO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC; CSCS
Contact information
Practice address
2500 E AJO WAY, CHICAGO WHITE SOX, TUCSON, AZ 85713-6218
(520) 434-1263
Mailing address
2637 E BIG VIEW DR, ORO VALLEY, AZ 85755-1938
(520) 825-7963
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0038
AZ
2255A2300X
Athletic Trainer
0844
NC
2255A2300X
Athletic Trainer
—
IL
Other
Enumeration date
10/07/2005
Last updated
07/08/2007
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