Provider Demographics
NPI:1649245390
Name:MCCLASKEY, JANET ELAINE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ELAINE
Last Name:MCCLASKEY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:ELAINE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ATC
Mailing Address - Street 1:9200 STOUDERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:OH
Mailing Address - Zip Code:43105-9507
Mailing Address - Country:US
Mailing Address - Phone:740-503-1225
Mailing Address - Fax:614-722-5581
Practice Address - Street 1:479 PARSONS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5577
Practice Address - Country:US
Practice Address - Phone:614-722-5577
Practice Address - Fax:614-722-5581
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17902255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer