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Amanda Clark, ATC, LAT — NPI 1255808085, Ruston, LA | NPI Central

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NPI 1255808085

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Amanda Clark, ATC, LAT

NPI 1255808085 · Athletic Trainer · Ruston, LA

Provider details

NPI number: 1255808085
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: ATC, LAT
Sex: Female
Sole proprietor: No
License: 321844 (LA)

Specialties & taxonomies

Athletic TrainerPrimary2255A2300XLicense 321844 (LA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

2301 Timberline Ct Apt F105

Ruston, LA 71270

Phone: (210) 827-3950

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

2301 Timberline Ct Apt F105

Ruston, LA 71270-5292

Additional practice locations (1)

309 Circle Dr
Corpus Christi, TX 78412-2529
Phone: (210) 827-3950

Registry dates

Enumerated: 2018-10-30
Last updated: 2021-03-20
Certified: 2021-03-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.