Individual
JEREMY DAVID CLIPPERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
ATC
Contact information
Practice address
2510 W RIO SALADO PKWY, MESA, AZ 85201-3603
(314) 766-0338
Mailing address
4170 E FAIRBANKS ST, GILBERT, AZ 85295-6147
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
009376
AZ
2255A2300X
Athletic Trainer
096.005582
IL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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