IndividualActive
Adrienne Clark, ATC/LAT
NPI 1386913879 · Athletic Trainer · Kokomo, IN
Provider details
- NPI number
- 1386913879
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC/LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 36001446A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2312 S Dixon Rd
Suite 250
Kokomo, IN 46902-6401
Phone: (765) 455-2122
Approximate (ZIP-level) locationGet directions
Mailing address
101 S Church St
Elwood, IN 46036-8426
Registry dates
- Enumerated
- 2011-12-29
- Last updated
- 2011-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.