Individual
STEPHANIE MICHELLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
5406 MCKNIGHT RD, TEXARKANA, TX 75503-0957
(903) 669-9238
Mailing address
5406 MCKNIGHT RD, TEXARKANA, TX 75503-0957
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5934
TX
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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