Madison Rae Clark
NPI #1821531492 in Independence, Missouri
Provider Information
- NPI Number
- 1821531492
- Entity Type
- Individual
- Name
- Madison Rae Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Nov 29, 2016
- Last Updated
- Dec 1, 2016
Practice Location
- Address
- 15413 E 3RD TER S
- City
- Independence
- State
- Missouri
- ZIP Code
- 64050-2289
- Phone
- (816) 585-5717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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