NPI 1073064119

Makayla Clarke, ATCLAT

Practitioner Athletic Trainer Charlestown, RI

Practice location

Address: 19 Lady Slipper Trl, Charlestown, RI 02813-3414
Phone: (401) 474-7500
Mailing address: PO Box 662, Charlestown, RI 02813-0662

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 00397 (RI)

Other Specialist/Technologist providers in Rhode Island →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 001031 (CT)

Registry record

NPI: 1073064119
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2016
Record last updated: 24 Oct 2016

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.