Individual
CLAYTON CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
5030 HOLMES STREET, KANSAS CITY, MO 64110
(816) 235-1735
Mailing address
10911 STATE LINE RD APT 1, KANSAS CITY, MO 64114-4832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018015872
MO
Other
Enumeration date
10/11/2018
Last updated
02/10/2020
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