Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANISHA TIANA CLARK
Active Sole ProprietorTANISHA TIANA CLARK is a Athletic Trainer healthcare provider located in WALLINGFORD, Connecticut. NPI 1871095935 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WALLINGFORD, CT
Registration Details
- NPI Number
- 1871095935
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2018 (8.4640954213408 yrs)
- Last Updated
- Feb 15, 2021
- License
-
54.001470 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 CHRISTIAN STWALLINGFORD, CT, 064923818Browse CT providers · Browse ZIP 06492
- Phone
- 2036972983
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in WALLINGFORD, CT
| Name | Credential | NPI |
|---|---|---|
| MR. MARC ROBERT ACETO | A.T.,C. | 1184605024 |
| DR. SHARON PATRICIA MISASI | PHD | 1518936962 |
| BRIAN EDWARD HOLLOWAY JR. | ATC | 1083707806 |
| EMILY PINDAR | ATC | 1184717928 |
| MR. MATTHEW BRIAN PENDLETON | MED., ATC | 1538252366 |
| MR. PETER E IVES II | ATHLETIC TRAINER | 1023233160 |
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.