Ryan Clark, LAT, ATC

NPI 1518458611 · on the registry since 2018 · sole proprietor

Practice

Address: 3333 W Hefner Rd
Oklahoma City, OK 73120
Phone: (405) 237-5941
Organisation at this address: Revive Performance, Inc.
Specialized Physical Therapy Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-31

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 Oklahoma