JOSHUA CLARK NSCA-CPT
NPI 1013451095
Student in an Organized Health Care Education/Training Program in Watertown, MA

Active since December 11, 2016
170 SCHOOL ST, WATERTOWN, MA 02472(774) 279-1044 Get Directions Write a Review

NPPES record last updated: December 11, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joshua Clark Nsca-cpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA CLARK NSCA-CPT (NPI 1013451095) is an individual student in an organized health care education/training program in Watertown, Massachusetts, licensed in Massachusetts (S62236208) and active in the NPI registry since December 2016.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1013451095
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSHUA CLARKCredential: NSCA-CPT
Location Address170 SCHOOL STWatertown, MA 02472-4149
Mailing Address170 School StWatertown, MA 02472-4149 · (774) 279-1044
Sole ProprietorYes
Enumeration DateDecember 11, 2016
NPI 1013451095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in MA · S62236208
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License S62236208 (MA)
170 SCHOOL ST, Watertown, MA 02472

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013451095, enumerated as an "individual" on December 11, 2016.

The provider is located at 170 SCHOOL ST WATERTOWN, MA 02472 and the phone number is (774) 279-1044.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.