Individual
KAYLA MARIE CLAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4740 AVERY LN SE, LACEY, WA 98503-5603
(360) 491-1815
Mailing address
9035 PIKE PL SE, PORT ORCHARD, WA 98367-7802
(360) 536-0596
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2017
Last updated
07/16/2017
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