Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKY LYNN CLARK
Active Sole ProprietorRICKY LYNN CLARK is a Athletic Trainer healthcare provider located in BRANDON, Mississippi. NPI 1639608136 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRANDON, MS
Registration Details
- NPI Number
- 1639608136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2017 (9.1587020702211 yrs)
- Last Updated
- Jun 8, 2017
- License
-
AT0557 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
904 MUNICIPAL DRBRANDON, MS, 390422973Browse MS providers · Browse ZIP 39042
- Phone
- 6017247310
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRANDON, MS
| Name | Credential | NPI |
|---|---|---|
| MR. BENJAMIN LONG | ATC | 1730411398 |
| FAITH NICOLE SMITH | PTA, LAT, ATC | 1518367358 |
| BLAKE HARRISON HINES | ATC, NASM-PES, MA | 1821486218 |
| CHRISTOPHER CODY GARCIA | — | 1790214450 |
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.