Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELIQUE CLARK, ATC
Active Sole ProprietorANGELIQUE CLARK, ATC is a Athletic Trainer healthcare provider located in PARK RAPIDS, Minnesota. NPI 1659719938 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PARK RAPIDS, MN
Registration Details
- NPI Number
- 1659719938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2013 (13.152852418779 yrs)
- Last Updated
- Jun 10, 2013
- License
-
1472 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 PLEASANT AVENUEPARK RAPIDS, MN, 56470Browse MN providers · Browse ZIP 56470
- Phone
- 2186163019
- 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.