NPI 1487297065

Christopher Marvin Clark, ATC

Practitioner Athletic Trainer Jacksonville, AL

Practice location

Address: 700 Pelham Rd N, Jacksonville, AL 36265-1602
Phone: (256) 782-5514
Fax: (256) 782-5546
Mailing address: 1151 Lake Forest Dr N, Southside, AL 35907-7111

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 857 (AL)

Other Specialist/Technologist providers in Alabama →

Registry record

NPI: 1487297065
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2019
Record last updated: 25 Oct 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.