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Dallas Brose — NPI 1962067132, Clarksville, AR | NPI Central

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NPI 1962067132

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Dallas Brose

NPI 1962067132 · Athletic Trainer · Clarksville, AR

Provider details

NPI number: 1962067132
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Male
Sole proprietor: Yes
License: 854 (AR)

Specialties & taxonomies

Athletic TrainerPrimary2255A2300XLicense 854 (AR)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

415 N College Ave

Clarksville, AR 72830-2880

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

415 N College Ave

Clarksville, AR 72830-2880

Additional practice locations (1)

415 N College Ave
Clarksville, AR 72830-2880
Phone: (918) 850-2112

Registry dates

Enumerated: 2019-05-03
Last updated: 2019-05-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.