Individual
BEN CLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1184 W MAIN ST, DECATUR, IL 62522-2084
(217) 424-3955
Mailing address
135 COLORADO DR, DECATUR, IL 62526-2364
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003815
IL
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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