Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK CLARK, ATC
ActiveDEREK CLARK, ATC is a Athletic Trainer healthcare provider located in LEETSDALE, Pennsylvania. NPI 1487070942 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LEETSDALE, PA
Registration Details
- NPI Number
- 1487070942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2014 (12.43025957726 yrs)
- Last Updated
- Mar 7, 2014
- License
-
RT001989A (PA)
Practice Information
- Address
-
625 BEAVER STLEETSDALE, PA, 150561200Browse PA providers · Browse ZIP 15056
- Phone
- 4127496001
- Fax
- 4127496017
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.