MS. NICOLE CLARK, LAT, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1538196563

Practice Address

1010 W WASHINGTON ST
Boise, ID 83702

Phone: (208) 854-4270

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes AT-208 (ID)

Frequently Asked Questions

NPI 1538196563 is the National Provider Identifier for MS. NICOLE CLARK, LAT, ATC, a Specialist/Technologist - Athletic Trainer provider located in Boise, ID. This NPI was enumerated on June 26, 2006.
MS. NICOLE CLARK, LAT, ATC practices at 1010 W WASHINGTON ST, Boise, ID 83702.

Quick Facts

NPI
1538196563
Type
Individual
Enumerated
Jun 26, 2006
Last Updated
Jul 8, 2007

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