Provider Demographics
NPI: | 1245743699 |
---|---|
Name: | CLAPIER, ALICYN MICHELLE (PT, DPT, ATP) |
Entity type: | Individual |
Prefix: | |
First Name: | ALICYN |
Middle Name: | MICHELLE |
Last Name: | CLAPIER |
Suffix: | |
Gender: | F |
Credentials: | PT, DPT, ATP |
Other - Prefix: | |
Other - First Name: | ALICYN |
Other - Middle Name: | MICHELLE |
Other - Last Name: | TURNER |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | PT, DPT |
Mailing Address - Street 1: | 2475 E PIERCETON RD |
Mailing Address - Street 2: | |
Mailing Address - City: | WARSAW |
Mailing Address - State: | IN |
Mailing Address - Zip Code: | 46580-7678 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 208-283-4735 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1835 N WILDWOOD ST |
Practice Address - Street 2: | |
Practice Address - City: | BOISE |
Practice Address - State: | ID |
Practice Address - Zip Code: | 83713-5146 |
Practice Address - Country: | US |
Practice Address - Phone: | 877-200-8152 |
Practice Address - Fax: | 855-631-4041 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2017-11-08 |
Last Update Date: | 2025-04-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IN | 05012752A | 225100000X |
ID | PT-6409 | 2251P0200X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |