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

LATISHA CLARK, MS, ATC, LAT

Active

LATISHA CLARK, MS, ATC, LAT is a Athletic Trainer healthcare provider located in SAN ANTONIO, Texas. NPI 1750756706 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SAN ANTONIO, TX

Registration Details

NPI Number
1750756706
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2015 (10.659492873495 yrs)
Last Updated
Dec 2, 2015
License
AT4794 (TX)

Practice Information

Address
4301 BROADWAY ST
SAN ANTONIO, TX, 782096318
Browse TX providers · Browse ZIP 78209
Phone
2108293826
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SAN ANTONIO, TX

Name Credential NPI
MR. RUSTY ARMSTRONG LAT, ATC, CSCS 1861486086
MR. JOHN ROBERT YOUNG A.T.C., L.A.T. 1558339671
BERNARD JOSEPH LOUGH ATC, LAT 1346206026
MR. JOHN K CAROLLO MS, LAT, ATC 1841235546
MRS. MARLI CAROLLO LAT, ATC 1508894916
JAMES DANIEL RETHABER 1477572055
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.