Clayton A. Corless in Rockford - Athletic Trainer

Clayton A. Corless - NPI 1932172087

Clayton A. Corless is a Athletic Trainer in Rockford, Illinois. Clayton A. Corless practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Clayton A. Corless is 1932172087. The last update date is 2007-07-08.

Clayton A. Corless's current location address is 5510 E State St, Rockford, Illinois. You can contact this provider via phone number 8153954505 and fax number 8153954507. The mailing address for Clayton A. Corless is 5510 E State St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Clayton A. Corless
Address 5510 E State St, Rockford, Illinois
Phone Number 8153954505
Fax Number 8153954507
Sole Proprietor X
Credentials ATC

NPI Number Detail

NPI Number 1932172087
Provider Enumeration Date 2006-02-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5510 E State St
City Rockford
State Illinois (IL)
Post Code 611082381
Phone Number 8153954505
Fax Number 8153954507

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 0096-000784
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Clayton A. Corless

What is the unique 10-digit identifier code assigned to Clayton A. Corless by the Centers for Medicare & Medicaid Services?

The Clayton A. Corless has been issued the NPI (National Provider Identifier) 1932172087 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Clayton A. Corless is geographically located?

The Clayton A. Corless is physically situated at the following location: 5510 E State St, Rockford, IL, 611082381.

What is Clayton A. Corless's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Clayton A. Corless is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.

When did Clayton A. Corless receive its 1932172087 assignment?

The Clayton A. Corless was assigned its 1932172087 on 2006-02-09, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Clayton A. Corless last refreshed?

The information related to the Clayton A. Corless, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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