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Individual

SCOTT ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MAT, MASE, ATC

Contact information

Practice address
202 COLDCREEK CT S, ELIZABETHTOWN, KY 42701-7039
(270) 872-8258
Mailing address
202 COLDCREEK CT S, ELIZABETHTOWN, KY 42701-7039

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT240
KY

Other

Enumeration date
03/23/2007
Last updated
02/11/2021
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