Individual
MR. CHET E CLODFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1003 MILL POND LN STE C, GREENCASTLE, IN 46135-2609
(765) 653-8494
(765) 653-7835
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002491A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211050
—
IN
Enumeration date
11/24/2006
Last updated
04/20/2017
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