MRS. Adrienne Renee Clark, ATC/LAT

NPI #1386913879 in Kokomo, Indiana

Provider Information

NPI Number
1386913879
Entity Type
Individual
Name
MRS. Adrienne Renee Clark, ATC/LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC/LAT
Enumeration Date
Dec 29, 2011
Last Updated
Dec 29, 2011

Practice Location

Address
2312 S DIXON RD
Address 2
SUITE 250
City
Kokomo
State
Indiana
ZIP Code
46902-6401
Phone
(765) 455-2122

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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