IndividualActive
William Clark
NPI 1639575830 · Athletic Trainer · Anderson, GU
Provider details
- NPI number
- 1639575830
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Mailing address
7 Reef Rd
Anderson, GU 83901
Registry dates
- Enumerated
- 2014-11-15
- Last updated
- 2016-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.