Provider Demographics
NPI:1457344020
Name:SAILOR, SCOTT RAY (EDD ATC)
Entity Type:Individual
Prefix:PROF
First Name:SCOTT
Middle Name:RAY
Last Name:SAILOR
Suffix:
Gender:M
Credentials:EDD ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 N. CAMPUS DR. (M/S SG28)
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93740-0001
Mailing Address - Country:US
Mailing Address - Phone:559-278-2543
Mailing Address - Fax:559-278-7010
Practice Address - Street 1:5275 N. CAMPUS DR. (M/S SG28)
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93740-0001
Practice Address - Country:US
Practice Address - Phone:559-278-2543
Practice Address - Fax:559-278-7010
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer