Individual
JESSICA MARIE CLANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
14455 CLAY TERRACE BLVD # AB, CARMEL, IN 46032
(317) 415-5747
Mailing address
7448 PAWTUCKET CT, INDIANAPOLIS, IN 46250-2755
(815) 323-9628
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002623A
IN
Other
Enumeration date
03/11/2016
Last updated
06/27/2018
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