Individual
MISS CANDACE D CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,ATC, LAT
Contact information
Practice address
1500 E. MICHIGAN ST, ARSENAL TECH WEST GYM ATR, INDIANAPOLIS, IN 46201
(317) 693-5300
Mailing address
4316 N COLLEGE AVE, INDIANAPOLIS, IN 46205-1932
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002022A
IN
Other
Enumeration date
11/15/2012
Last updated
11/13/2019
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