IndividualActive
Aaron Clark, ATC
NPI 1245208792 · Athletic Trainer · Quincy, IL
Provider details
- NPI number
- 1245208792
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 096-000900 (IL)
Mailing address
5225 Hinton Ct S
Quincy, IL 62305-0734
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2014-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.