Doctor Name: | MR. CHET E CLODFELTER |
NPI Number: | 1306911292 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 05002491A |
Business Practice Address: | 1003 Mill Pond Ln Ste C Greencastle, IN - 461352609 |
Business Phone Number: | 7656538494 |
Business Fax Number: | 7656537835 |
Mailing Address: | 10304 N County Road 375 W, ROACHDALE |
State: | IN |
Postal Code: | 461729525 |
Phone Number: | 7655225638 |
Fax Number: | |
NPI Enumeration Date: | 11/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05002491A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |