Individual
CAITLIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
6701 AIRPORT BLVD STE A101, MOBILE, AL 36608-6767
(251) 660-6458
(251) 660-6496
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2754
AL
2255A2300X
Athletic Trainer
Primary
AT0593
MS
363A00000X
Physician Assistant
Primary
2751
AL
363A00000X
Physician Assistant
Primary
—
AL
Other
Enumeration date
04/11/2016
Last updated
02/20/2026
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