Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAE H CLARK, ATC, LAT
ActiveJAE H CLARK, ATC, LAT is a Athletic Trainer healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1760247811 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1760247811
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2024 (2.4454875770153 yrs)
- Last Updated
- Feb 19, 2024
- License
-
RT005767 (PA)
Practice Information
- Address
-
1651 BENJAMIN FRANKLIN PKWYPHILADELPHIA, PA, 191031284Browse PA providers · Browse ZIP 19103
- Phone
- 2153034818
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| JENA LYNN HARRIS | ATC | 1508814500 |
| MR. JOHN RICHARD WORLEY | — | 1124016043 |
| MR. JEFFREY STEPHEN COOPER | MS ATC | 1710959374 |
| MICHAEL WESTERFER | ATC | 1306819859 |
| MS. LEANNE ELIZABETH EDWARDS | MA, LAT, ATC | 1508829987 |
| MR. JASPER AYENI | ATC/L | 1215990395 |
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.