Individual
CLAYE W CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7111 SOUTHCREST PKWY STE 105, SOUTHAVEN, MS 38671-4851
(901) 261-2506
(901) 261-2590
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7909
MS
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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