Provider Demographics
NPI:1447896006
Name:CLAWSON, PAIGE ALISON (ATC)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:ALISON
Last Name:CLAWSON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 BIG BEAR LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-2055
Mailing Address - Country:US
Mailing Address - Phone:660-734-2734
Mailing Address - Fax:
Practice Address - Street 1:629 BIG BEAR LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-2055
Practice Address - Country:US
Practice Address - Phone:660-734-2734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAT15682255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYAT1568OtherKENTUCKY STATE MEDICAL BOARD LICENSURE