Individual
CHRISTOPHER CHASE CLEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(937) 438-2400
Mailing address
3859 S ASHLEAF LN, BEAVERCREEK, OH 45440-3472
(937) 443-7311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006151
OH
2255A2300X
Athletic Trainer
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
08/18/2017
Last updated
07/08/2020
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