# CLARKSON UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336709534
- **Authorized official:** KATHRYN RYAN BISHOP LAT, ATC (ASSISTANT ATHLETIC TRAINER)
- **Authorized official phone:** (315) 268-2123

## Contact information

- **Practice address:** 8 CLARKSON AVE \# 5830, POTSDAM, NY 13699-9001
- **Practice address phone:** (315) 268-2123
- **Practice address fax:** (315) 268-6442
- **Mailing address:** 8 CLARKSON AVE \# 5830, POTSDAM, NY 13699-9001
- **Mailing address phone:** (315) 268-2123
- **Mailing address fax:** (315) 268-6442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | — | NULL | Yes |
| 2255A2300X | Athletic Trainer | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2019
- **Last updated:** 06/19/2019