SearchPennsylvaniaAthletic Trainer

Derek Clark, ATC

NPI 1487070942 · on the registry since 2014

Practice

Address
625 Beaver St
Leetsdale, PA 15056
Phone
(412) 749-6001
Fax
(412) 749-6017

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-07

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 Pennsylvania