Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE CLARK, LAT, ATC
Active Sole ProprietorNICOLE CLARK, LAT, ATC is a Athletic Trainer healthcare provider located in BLOOMFIELD, Indiana. NPI 1871968768 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLOOMFIELD, IN
Registration Details
- NPI Number
- 1871968768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 3, 2015 (10.653820269322 yrs)
- Last Updated
- Dec 3, 2015
- License
-
36001806A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
332 WILSON DRBLOOMFIELD, IN, 474241054Browse IN providers · Browse ZIP 47424
- Phone
- 3174323861
- 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.