Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN B CLARK, LAT, ATC
ActiveJUSTIN B CLARK, LAT, ATC is a Athletic Trainer healthcare provider located in ABILENE, Kansas. NPI 1487606380 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ABILENE, KS
Registration Details
- NPI Number
- 1487606380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.202439646224 yrs)
- Last Updated
- Jul 12, 2007
- License
-
2400410 (KS)
Practice Information
- Address
-
511 NE 10TH STABILENE, KS, 674102153Browse KS providers · Browse ZIP 67410
- Phone
- 7852636664
- 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.