Individual
CLARKE HOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, NASM-PES, C
Contact information
Practice address
1201 COLISEUM DRIVE ROOM 314, TUSCALOOSA, AL 35487-0001
(205) 523-1628
Mailing address
11443 DYER LN, NORTHPORT, AL 35475-4968
(205) 523-1628
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1817
AL
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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