NPI 1134737083

Joseph Scott Ballard, LATATC

Practitioner Athletic Trainer Corvallis, OR

Practice location

Address: 2350 NW Century Dr STE 100, Corvallis, OR 97330-3495
Phone: (541) 754-1265
Mailing address: 444 NW Elks Dr, Corvallis, OR 97330-3758

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 10222854 (OR)

Other Specialist/Technologist providers in Oregon →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT8282 (TX)

Registry record

NPI: 1134737083
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2020
Record last updated: 17 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.