Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE MARIE CLARK, MS, LAT, ATC
ActiveMACKENZIE MARIE CLARK, MS, LAT, ATC is a Athletic Trainer healthcare provider located in FORT WAYNE, Indiana. NPI 1306248398 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FORT WAYNE, IN
Registration Details
- NPI Number
- 1306248398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2014 (11.853527159512 yrs)
- Last Updated
- Mar 8, 2016
- License
-
36001685A (IN)
Practice Information
- Address
-
11130 PARKVIEW CIRCLE DRFORT WAYNE, IN, 468451735Browse IN providers · Browse ZIP 46845
- Phone
- 8125987583
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| ANTHONY W GAMBILL | A.T.C., CSCS | 1588658140 |
| MR. JEREMY R. GALL | ATC | 1063409332 |
| MRS. JENNIFER JEAN BEER | MA, LAT, ATC | 1003880618 |
| MR. JEFFREY ALLEN BEER | MA, LAT, ATC, CEAS | 1285608877 |
| EMILY ANN TUMBLESON | LAT, ATC | 1730157546 |
| KEVIN MARK WATSON | ATC/L | 1992773972 |
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.