Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COULTER LOUIS CLARK, MED, ATC, LAT
Active Sole ProprietorCOULTER LOUIS CLARK, MED, ATC, LAT is a Athletic Trainer healthcare provider located in SKIATOOK, Oklahoma. NPI 1548647423 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SKIATOOK, OK
Registration Details
- NPI Number
- 1548647423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2015 (11.312665187766 yrs)
- Last Updated
- Mar 21, 2016
- License
-
673 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
355 S OSAGE STSKIATOOK, OK, 740702015Browse OK providers · Browse ZIP 74070
- Phone
- 9183965710
- 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.