Scott Wesley Anderson, MA, LAT, ATC
Specialist/Technologist, Athletic Trainer in Marion, IN. Individual provider (NPI-1).
NPI number1447775432
StatusActive
Last updated in NPPESAug 10, 2017
Details
- NPI
- 1447775432
- Entity type
- Individual (NPI-1)
- Name
- Scott Wesley Anderson
- Credential
- MA, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2017
- Last updated
- Aug 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 36002684A | IN | Yes |
Practice location
4201 S Washington StMarion, IN 46953-4974
Phone 765-677-3335
Mailing address
1503 N Wabash AveMarion, IN 46952-1801
Phone 805-729-4268
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