Provider Demographics
NPI:1922590819
Name:CARIUS, CLAYTON (ATC)
Entity Type:Individual
Prefix:
First Name:CLAYTON
Middle Name:
Last Name:CARIUS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 36TH AVENUE CT
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-7864
Mailing Address - Country:US
Mailing Address - Phone:309-737-2706
Mailing Address - Fax:
Practice Address - Street 1:3430 TOWNE POINTE DR
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-5320
Practice Address - Country:US
Practice Address - Phone:563-332-2204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer