Individual
GARRETT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 DEER CROSSING DR, MAGNOLIA, AR 71753-9353
(870) 807-1948
Mailing address
103 DEER CROSSING DR, MAGNOLIA, AR 71753-9353
(870) 807-1948
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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