Individual
TARA K CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7140
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7140
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
0866
SD
Other
Enumeration date
04/16/2024
Last updated
11/21/2024
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