Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE CLARK, A.T.,C.
Active Sole ProprietorMR. SHANE CLARK, A.T.,C. is a Athletic Trainer healthcare provider located in GREER, South Carolina. NPI 1972910305 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GREER, SC
Registration Details
- NPI Number
- 1972910305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2014 (12.060007830795 yrs)
- Last Updated
- Jul 17, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
2151 FEWS CHAPEL RDGREER, SC, 296514946Browse SC providers · Browse ZIP 29651
- Phone
- 8643551896
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GREER, SC
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER ANDREW PARE | ATC | 1922370816 |
| SASHA ROCHELLE ROBINSON | ATC | 1104233428 |
| JOHN THORPE | — | 1881078756 |
| MR. ZAC PARKER | ATC, SCAT | 1336591288 |
| ADAM CELLAMARE | ATC | 1588016281 |
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.