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JOHN CLOUGHERTY MED,LAT, ATC
NPI 1104279371
Specialist/Technologist - Athletic Trainer in Lavon, TX

Active since July 22, 2016
12038 STATE HIGHWAY 205, LAVON, TX 75166(972) 722-4875 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Clougherty Med,lat, Atc NPPES

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

JOHN CLOUGHERTY MED,LAT, ATC (NPI 1104279371) is an individual athletic trainer provider in Lavon, Texas, licensed in Texas (AT0633) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1104279371
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJOHN CLOUGHERTYCredential: MED,LAT, ATC
Location Address12038 STATE HIGHWAY 205Lavon, TX 75166-1846
Mailing Address12038 State Highway 205Lavon, TX 75166-1846
Phone(972) 722-4875
Sole ProprietorYes
Enumeration DateJuly 22, 2016
✔ NPI 1104279371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in TX · AT0633
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
12038 STATE HIGHWAY 205, Lavon, TX 75166
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Clougherty's NPI number?

The NPI number for John Clougherty is 1104279371. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is John Clougherty located?

John Clougherty practices at 12038 State Highway 205, Lavon, TX 75166. The listed phone number is (972) 722-4875.

What is John Clougherty's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for John Clougherty was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.