Provider Demographics
NPI:1558670257
Name:CLAUSS, BETSY KAY (ATC)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:KAY
Last Name:CLAUSS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 877
Mailing Address - Street 2:GWU ATHLETIC TRAINING
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28017
Mailing Address - Country:US
Mailing Address - Phone:704-406-4425
Mailing Address - Fax:704-406-3595
Practice Address - Street 1:110 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28017-9797
Practice Address - Country:US
Practice Address - Phone:704-406-4425
Practice Address - Fax:704-406-3595
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD03462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer