Ryan Steven Clark, LAT, ATC
NPI #1528626959 in Joint Base Lewis Mcchord, Washington
Provider Information
- NPI Number
- 1528626959
- Entity Type
- Individual
- Name
- Ryan Steven Clark, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- May 31, 2019
- Last Updated
- Jul 29, 2022
Practice Location
- Address
- 9040A JACKSON AVE
- State
- Washington
- ZIP Code
- 98431-0001
- Phone
- (208) 819-5174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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