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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN STEVEN CLARK, LAT, ATC

Active

RYAN STEVEN CLARK, LAT, ATC is a Athletic Trainer healthcare provider located in JOINT BASE LEWIS MCCHORD, Washington. NPI 1528626959 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · JOINT BASE LEWIS MCCHORD, WA

Registration Details

NPI Number
1528626959
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2019 (7.1663797782471 yrs)
Last Updated
Jul 29, 2022
License
A161295706 (WA)

Practice Information

Address
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA, 984310001
Browse WA providers · Browse ZIP 98431
Phone
2088195174
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in JOINT BASE LEWIS MCCHORD, WA

Name Credential NPI
WILLIAM SCOTT GOODE ATC 1508851072
DR. AMBER ROSE PRESTON D.C., LAT, ATC 1164840047
ANNA GONZALES ATC/L, CES 1336557784
COLTON BOVERIE ATC, LAT 1215302724
MATTHEW CRUMLEY 1447612015
SAMANTHA ERDMAN 1609302462
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.