Individual
CLAYTON TRAVIS PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
Update your record
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