Individual
JACLYN CLAUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM, ATC, LAT
Contact information
Practice address
2800 W MAIN ST, BELLEVILLE, IL 62226-6612
(320) 226-4377
Mailing address
8501 W 22ND ST APT 309, SIOUX FALLS, SD 57106-8482
(320) 226-4377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014027293
MO
Other
Enumeration date
05/23/2016
Last updated
08/20/2024
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