NPI 1023575891

Kristen Clark, MSATC

Practitioner Athletic Trainer Grants Pass, OR

Practice location

Address: 537 Union Ave, Grants Pass, OR 97527-5543
Phone: (541) 761-0048
Mailing address: PO Box 726, Merlin, OR 97532-0726

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1025091 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1023575891
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2019
Record last updated: 27 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.