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PROF. ROGER CLARK ATC, PHD
NPI 1225458136
Specialist/Technologist - Athletic Trainer in Pueblo, CO

Active since April 17, 2014
2200 BONFORTE BLVD, PUEBLO, CO 81001(719) 549-2530(719) 549-2549 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Roger Clark Atc, Phd NPPES

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

PROF. ROGER CLARK ATC, PHD (NPI 1225458136) is an individual athletic trainer provider in Pueblo, Colorado, licensed in Colorado (627) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1225458136
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NamePROF. ROGER CLARKCredential: ATC, PHD
Location Address2200 BONFORTE BLVDPueblo, CO 81001-4901
Mailing Address2200 Bonforte BlvdPueblo, CO 81001-4901 · (719) 549-2530 · Fax (719) 549-2549
Phone(719) 549-2530
Fax(719) 549-2549
Sole ProprietorYes
Enumeration DateApril 17, 2014
✔ NPI 1225458136 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 CO · 627
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.
2200 BONFORTE BLVD, Pueblo, CO 81001
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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.

KATHRYN RAPHAEL
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2100
AIDAN OLSON
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (303) 882-2791
NATASHA BALCOM
Specialist/Technologist (Athletic Trainer)
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 338-8035
HAILEY DUZENACK
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2100
NICOLETTE JADE SAINT JOHN
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 661-0842
MS. HANNAH MARIA COMSTOCK
Student in an Organized Health Care Education/Training Program
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2100
TESSA BOCCUMINI ATC
Specialist/Technologist (Athletic Trainer)
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2431
COLLEEN CONROY ATC
Specialist/Technologist (Athletic Trainer)
2200 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 549-2731

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 Roger Clark's NPI number?

The NPI number for Roger Clark is 1225458136. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Roger Clark located?

Roger Clark practices at 2200 Bonforte Blvd, Pueblo, CO 81001. The listed phone number is (719) 549-2530.

What is Roger Clark'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 Roger Clark was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.