Provider Demographics
NPI:1912899675
Name:SPLETH, CLAIRE CAMPBELL UPDEGRAFF
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:CAMPBELL UPDEGRAFF
Last Name:SPLETH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8961 SAWMILL CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-9171
Mailing Address - Country:US
Mailing Address - Phone:463-253-4988
Mailing Address - Fax:
Practice Address - Street 1:8961 SAWMILL CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-9171
Practice Address - Country:US
Practice Address - Phone:463-253-4988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06006965A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant