Ryan Steven Clark, LAT, ATC Valid NPI

Individual provider · Athletic Trainer · Joint Base Lewis Mcchord, WA

NPI

1528626959

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

A161295706 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2019-05-31

Last updated

2022-07-29