Peter Clark, ATC, AT-L, CSCS, MA

NPI 1346511094 · on the registry since 2012 · sole proprietor

Practice

Address: 502 E Boone Ave
Ad Box 66
Spokane, WA 99258
Phone: (509) 313-5591
Fax: (509) 313-5789
Organisation at this address: Therapeutic Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-01-25

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 Washington