Individual
CLAYTON DELANEY FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LMP
Contact information
Practice address
12609 NE 132ND ST, UNIT B, KIRKLAND, WA 98034-3139
(425) 516-9919
Mailing address
12609 NE 132ND ST, UNIT B, KIRKLAND, WA 98034-3139
(425) 516-9919
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160047875
WA
225700000X
Massage Therapist
MA00011153
WA
Other
Enumeration date
11/03/2008
Last updated
10/07/2014
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