Individual
CATHERINE SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 65897-0027
(417) 836-8553
Mailing address
5036 S GREENBRIAR AVE, SPRINGFIELD, MO 65804-7746
(417) 689-0974
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/31/2022
Last updated
05/31/2022
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