Individual
CHRISTOPHER M CLIFFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
1160 N. PEACHTREE RM 114, COOKEVILLE, TN 38505-0001
(931) 372-3934
(931) 372-3964
Mailing address
801 WINSTON DR, APT A1, COOKEVILLE, TN 38506-4607
(574) 229-7934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
965
TN
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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