IndividualActive
Clint Anglin, ATC,LAT
NPI 1609105253 · Athletic Trainer · Bentonville, AR
Provider details
- NPI number
- 1609105253
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC,LAT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1504 Se 28th St
Bentonville, AR 72712-3988
Phone: (479) 273-1111
Fax: (479) 273-1255
Approximate (ZIP-level) locationGet directions
Mailing address
1504 Se 28th St
Bentonville, AR 72712-3988
Registry dates
- Enumerated
- 2009-12-10
- Last updated
- 2009-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.