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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLAYTON A. CORLESS, ATC

Active

CLAYTON A. CORLESS, ATC is a Athletic Trainer healthcare provider located in ROCKFORD, Illinois. NPI 1932172087 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ROCKFORD, IL

Registration Details

NPI Number
1932172087
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2006 (20.473939722852 yrs)
Last Updated
Jul 8, 2007
License
0096-000784 (IL)

Practice Information

Address
5510 E STATE ST
ROCKFORD, IL, 611082381
Browse IL providers · Browse ZIP 61108
Phone
8153954505
Fax
8153954507
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ROCKFORD, IL

Name Credential NPI
MR. AARON MICHAEL ENGEL ATC 1477520922
MRS. CHRISTINA AUGUSTA ELDRIDGE ATC, CSCS 1417925355
MRS. KIMBERLY ANN SMITH M.S. ED, ATC 1134198211
JENNIFER L WUORI PT, ATC 1144298381
RUSSELL CHARLES MORGAN ATC/L 1023087186
LEAH MAE PATAKI M.A., ATC, CWT 1790754422
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.