Individual
DR. SCOTT BENSON STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAT, LAT, ATC
Contact information
Practice address
218 N COLLEGE AVE, RIO GRANDE, OH 45674-3131
(740) 245-7112
Mailing address
218 N COLLEGE AVE, RIO GRANDE, OH 45674-3131
(740) 245-7112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001129
WV
2255A2300X
Athletic Trainer
Primary
AT002375
OH
2255A2300X
Athletic Trainer
RT004078
PA
Other
Enumeration date
01/12/2008
Last updated
10/07/2024
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