Individual
MR. KIPP AARON CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.-R.
Contact information
Practice address
209 US HIGHWAY 90 W, STE. 2, CASTROVILLE, TX 78009-4540
(830) 931-2211
(830) 538-3778
Mailing address
209 US HIGHWAY 90 WEST, SUITE 2, CASTROVILLE, TX 78009-4555
(830) 931-2211
(830) 538-3778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89688T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/04/2006
Last updated
04/16/2008
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