Provider Demographics
NPI:1730652488
Name:MCCLOUD, APRIL DAWN (CMA)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:DAWN
Last Name:MCCLOUD
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S COLLEGE AVE STE F
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-2565
Mailing Address - Country:US
Mailing Address - Phone:812-339-4155
Mailing Address - Fax:
Practice Address - Street 1:800 S COLLEGE AVE STE F
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-2565
Practice Address - Country:US
Practice Address - Phone:812-339-4155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-05
Last Update Date:2019-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty