Individual
BECKY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT/ATC
Contact information
Practice address
3087 SPARTA ST, MCMINNVILLE, TN 37110-1364
(931) 815-2663
Mailing address
46 HOBBY CIR, MCMINNVILLE, TN 37110-6336
(931) 273-6310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1650
TN
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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