CARLIE CLARK ATC, LAT, CES
NPI 1114383122
Specialist/Technologist - Athletic Trainer in Dayton, OH

Active since January 06, 2016
725 UNIVERSITY BLVD, DAYTON, OH 45435(937) 245-7559(937) 425-0736 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carlie Clark Atc, Lat, Ces NPPES

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

CARLIE CLARK ATC, LAT, CES (NPI 1114383122) is an individual athletic trainer provider in Dayton, Ohio, licensed in Ohio (AT.003570) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1114383122
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCARLIE CLARKCredential: ATC, LAT, CES
Location Address725 UNIVERSITY BLVDDayton, OH 45435-0001
Mailing Address1206 Dickens Dr Apt AFairborn, OH 45324-8790 · (614) 203-4805
Fax(937) 425-0736
Sole ProprietorNo
Enumeration DateJanuary 6, 2016
NPI 1114383122 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 OH · AT.003570
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.

725 UNIVERSITY BLVD, Dayton, OH 45435

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
725 UNIVERSITY BLVD, 2ND FLOOR
DAYTON, OH 45435
Family Medicine
725 UNIVERSITY BLVD, OLLIE DAVIS MEDICAL BUILDING
DAYTON, OH 45435
Family Medicine (Geriatric Medicine)
725 UNIVERSITY BLVD
DAYTON, OH 45435
Family Medicine
725 UNIVERSITY BLVD
DAYTON, OH 45435
Family Medicine
725 UNIVERSITY BLVD
DAYTON, OH 45435
Family Medicine
725 UNIVERSITY BLVD
DAYTON, OH 45435
Internal Medicine (Geriatric Medicine)
725 UNIVERSITY BLVD
DAYTON, OH 45435
Dermatology
725 UNIVERSITY BLVD
DAYTON, OH 45435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114383122, enumerated as an "individual" on January 06, 2016.

The provider is located at 725 UNIVERSITY BLVD DAYTON, OH 45435 and the phone number is (937) 245-7559.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.