NPI 1972910305

Shane Clark, ATC

Practitioner Athletic Trainer Greer, SC

Practice location

Address: 2151 Fews Chapel Rd, Greer, SC 29651-4946
Phone: (864) 355-1896

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in South Carolina →

Registry record

NPI: 1972910305
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2014
Record last updated: 17 Jul 2014

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.