Individual
SCOUT SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 SAN GABRIEL ST, AUSTIN, TX 78705-5063
(914) 602-6743
Mailing address
2204 SAN GABRIEL ST, AUSTIN, TX 78705-5063
(914) 602-6743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JXA012549180
—
TX
Enumeration date
08/29/2018
Last updated
09/11/2025
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