Amanda Clark, ATC, LAT

NPI 1255808085 · on the registry since 2018

Practice

Address: 2301 Timberline Ct Apt F105
Ruston, LA 71270
Phone: (210) 827-3950
Organisation at this address: Heart To Mind Mental Health Services
Inferred from a shared address, not stated in the registry.

Additional practice sites

309 Circle Dr, Corpus Christi, TX

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana