Individual
ETHEN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 E H ST, MC COOK, NE 69001-3482
(308) 344-2650
Mailing address
1301 E H ST, MC COOK, NE 69001-3482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
811
NE
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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