Scott Waller

NPI #1184376600 in Arvada, Colorado

Provider Information

NPI Number: 1184376600
Entity Type: Individual
Name: Scott Waller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 25, 2022
Last Updated: Jan 25, 2022

Practice Location

Address: 9143 W 75TH CIR
City: Arvada
State: Colorado
ZIP Code: 80005-4140
Phone: (719) 649-5182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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