Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Scott Rodney Gallup Jr., LAT, ATC

Individual provider Athletic Trainer · NPI 1609304534

Mr. Scott Rodney Gallup Jr., LAT, ATC is an Athletic Trainer in East Stroudsburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

200 Prospect St
East Stroudsburg, PA 18301-2956
Phone: (570) 422-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT006678 (PA)

Record details

NPI number1609304534
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESMay 23, 2017

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