Provider Demographics
NPI:1386086742
Name:GAILLARD, CLAIRE LYNN (CMT, MA)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:LYNN
Last Name:GAILLARD
Suffix:
Gender:F
Credentials:CMT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3244 S WESTNEDGE AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-2903
Mailing Address - Country:US
Mailing Address - Phone:269-598-8415
Mailing Address - Fax:
Practice Address - Street 1:3244 S WESTNEDGE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-2903
Practice Address - Country:US
Practice Address - Phone:269-598-8415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program