Ricky Clark
NPI 1639608136 · Athletic Trainer · Brandon, MS
Ricky Clark is a Athletic Trainer provider in Brandon, MS (NPI 1639608136).
Provider details
- NPI number
- 1639608136
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT0557 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2017-06-08
Frequently asked questions
- What is Ricky Clark's NPI number?
- Ricky Clark's National Provider Identifier (NPI) is 1639608136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ricky Clark's specialty?
- Ricky Clark is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ricky Clark located?
- Ricky Clark's practice location on file with NPPES is 904 Municipal Dr, Brandon, MS 39042-2973.
- What is Ricky Clark's phone number?
- The practice phone number listed in the NPPES registry for Ricky Clark is (601) 724-7310.
- Is Ricky Clark's NPI active?
- Yes — Ricky Clark's NPI (1639608136) is active in the NPPES registry as of the last update on 2017-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.