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MR. JEFFREY DAVID CLAY ATC
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1982668968
Individual Registrant:MR. JEFFREY DAVID CLAY ATC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
83 TURKEY CRK ALACHUA, FL 32615-9569 US
Tel: 386-462-0675 Fax: 386-462-0675
Tel: 386-462-0675 Fax: 386-462-0675
Contact information for business:
83 TURKEY CRK ALACHUA, FL 32615-9569 US
Tel: 386-462-0675 Fax: 386-462-0675
Tel: 386-462-0675 Fax: 386-462-0675
Registration Information:
NPI: 1982668968
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer | FL | AL422 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
