Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA M CLARK, ATC, LAT
ActiveAMANDA M CLARK, ATC, LAT is a Athletic Trainer healthcare provider located in RUSTON, Louisiana. NPI 1255808085 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · RUSTON, LA
Registration Details
- NPI Number
- 1255808085
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2018 (7.7481816908771 yrs)
- Last Updated
- Mar 20, 2021
- License
-
321844 (LA)
Practice Information
- Address
-
2301 TIMBERLINE CT APT F105RUSTON, LA, 71270Browse LA providers · Browse ZIP 71270
- Phone
- 2108273950
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in RUSTON, LA
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES PRESTON LUTES | ATC, LAT, EMT | 1942427091 |
| JILL HANCOCK | ATC, LAT | 1780056069 |
| ROBERTO CARDONA | ATC | 1588036651 |
| JUSTIN WHEELER | MS, ATC, LAT, CSCS | 1760855688 |
| MR. WILLIAM WORD | ATC | 1548625130 |
| CHRISTOPHER WATSON | LAT, ATC, CES, PES | 1508226002 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.