IndividualActive
Justin Clark, LAT, ATC
NPI 1487606380 · Athletic Trainer · Abilene, KS
Provider details
- NPI number
- 1487606380
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2400410 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
511 Ne 10th St
Abilene, KS 67410-2153
Phone: (785) 263-6664
Approximate (ZIP-level) locationGet directions
Mailing address
511 Ne 10th St
Abilene, KS 67410-2153
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2007-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.