Individual
CLAYTON ANDERSON
Active
Individual
CLAYTON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60565652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046396
—
WA
01
—
P01853423
RR MEDICARE
WA
Enumeration date
06/30/2015
Last updated
04/03/2018
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