Ainsley Nyeinchun McClure, ATC
Specialist/Technologist, Athletic Trainer in Tomales, CA. Individual provider (NPI-1).
NPI number1164062964
StatusActive
Last updated in NPPESJan 9, 2020
Details
- NPI
- 1164062964
- Entity type
- Individual (NPI-1)
- Name
- Ainsley Nyeinchun McClure
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2020
- Certification date
- Jan 9, 2020
- Last updated
- Jan 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000037024 | CA | Yes |
Practice location
3850 Irvin RdTomales, CA 94971
Phone 415-755-5141
Mailing address
3850 Irvin RdTomales, CA 94971
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