Individual
MR. RYAN ALEXANDER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3333 W HEFNER RD, OKLAHOMA CITY, OK 73120-5060
(405) 237-5941
Mailing address
5012 SW 129TH CT, OKLAHOMA CITY, OK 73173-8882
(405) 778-4088
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1060
OK
Other
Enumeration date
05/23/2018
Last updated
12/06/2025
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