Individual
SCOTT MICHAEL CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01826
IA
2255A2300X
Athletic Trainer
00180
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208637
—
IA
01
—
49019
BLUE CROSS BLUE SHIELD
IA
Enumeration date
01/24/2006
Last updated
10/23/2007
Update your record
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