Mr. Clayton R Wilson
Kinesiotherapist
2220 Vestal Rd
Vestal
, New York 13850-1940
Mr. Clayton R Wilson
Kinesiotherapist
2220 Vestal Rd
Vestal
, New York 13850-1940
(210) 380-2671
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mr. Clayton R Wilson
- Po Box 551
- Endicott, NY
- Zip : 13761-0551
- Phone : (210) 380-2671
Second Address
- Mr. Clayton R Wilson
- 2220 Vestal Rd
- Vestal, NY
- Zip : 13850-1940
- Phone : (210) 380-2671
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist |
National Provider Identifier
| NPI | 1336418508 |
|---|---|
| Provider Name | Mr. Clayton R Wilson |
| First Address | Endicott, NY 13761-0551 |
| Second Address | Vestal, NY 13850-1940 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2011 |
| Last Update Date | 17/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.