Jonathan Daniel Clark, MS, LAT, ATC

NPI #1932508165 in Madison, Alabama

Provider Information

NPI Number
1932508165
Entity Type
Individual
Name
Jonathan Daniel Clark, MS, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, LAT, ATC
Enumeration Date
Aug 13, 2014
Last Updated
Aug 13, 2014

Practice Location

Address
11306 COUNTY LINE RD
State
Alabama
ZIP Code
35756-2011
Phone
(256) 216-5313

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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