Provider Demographics
NPI:1740345024
Name:CLIFTON, JANET MARIE (LAT ATC CSCS)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARIE
Last Name:CLIFTON
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Gender:F
Credentials:LAT ATC CSCS
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Mailing Address - Street 1:1520 EAST 44TH STREET
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013
Mailing Address - Country:US
Mailing Address - Phone:765-649-2928
Mailing Address - Fax:317-322-4287
Practice Address - Street 1:8227 NORTHWEST BLVD
Practice Address - Street 2:SUITE 160 ST VINCENT SPORTS MEDICINE CENTER
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278
Practice Address - Country:US
Practice Address - Phone:317-415-5747
Practice Address - Fax:317-322-4287
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2024-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN36001139A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer