Provider Demographics
NPI:1093121261
Name:DAVIS, CLAIRE L (MSAT, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:L
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 EUREKA HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8362
Mailing Address - Country:US
Mailing Address - Phone:336-908-2173
Mailing Address - Fax:828-262-3158
Practice Address - Street 1:425 JACK BRANCH DR
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28608-0001
Practice Address - Country:US
Practice Address - Phone:828-262-3018
Practice Address - Fax:828-262-3158
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer