Individual
CLAYTON WILLIAM HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 S 6TH ST APT 3, TERRE HAUTE, IN 47807-4344
(812) 584-9904
Mailing address
16642 UNION RIDGE ROAD, AURORA, IN 47001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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