IndividualActive
Andrew Clark, ATC
NPI 1467167429 · Athletic Trainer · Overland Park, KS
Provider details
- NPI number
- 1467167429
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 24-01693 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10700 Nall Ave
Overland Park, KS 66211-1206
Phone: (912) 574-1908
Approximate (ZIP-level) locationGet directions
Mailing address
1138 E Main St
Anthony, KS 67003-2706
Registry dates
- Enumerated
- 2023-01-13
- Last updated
- 2025-01-12
- Certified
- 2025-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.