Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALLAS BROSE
Active Sole ProprietorDALLAS BROSE is a Athletic Trainer healthcare provider located in CLARKSVILLE, Arkansas. NPI 1962067132 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CLARKSVILLE, AR
Registration Details
- NPI Number
- 1962067132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2019 (7.0989723239737 yrs)
- Last Updated
- May 3, 2019
- License
-
854 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 N COLLEGE AVECLARKSVILLE, AR, 728302880Browse AR providers · Browse ZIP 72830
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CLARKSVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MR. CHAD JOSEPH FLOYD | A.T.,C | 1477519510 |
| JACOB WALTON-CONNER | — | 1518327485 |
| DENISE PRATHER | ATC | 1194203596 |
| LAUREN FORD | — | 1932893971 |
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.