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

JONATHAN DANIEL CLARK, MS, LAT, ATC

Active Sole Proprietor

JONATHAN DANIEL CLARK, MS, LAT, ATC is a Athletic Trainer healthcare provider located in MADISON, Alabama. NPI 1932508165 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MADISON, AL

Registration Details

NPI Number
1932508165
Provider Type
Individual
Gender
Male
NPI Issued
Aug 13, 2014 (11.96153753507 yrs)
Last Updated
Aug 13, 2014
License
1378 (AL)
Sole Proprietor
Yes

Practice Information

Address
11306 COUNTY LINE RD
MADISON, AL, 357562011
Browse AL providers · Browse ZIP 35756
Phone
2562165313
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MADISON, AL

Name Credential NPI
MR. MICHAEL DAVID DYE A.T.C. 1972944783
SARA BRESLIN MS, ATC 1134525108
JENNIFER CECIL 1518430735
PATRICK LOUIS JOHNSON 1710451927
JENNIFER LYNN WILLIAMS 1982366951
ANTHONY HARGROVE 1184363038
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.