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AMANDA M CLARK ATC, LAT
NPI 1255808085
Specialist/Technologist - Athletic Trainer in Ruston, LA

Active since October 30, 2018
2301 TIMBERLINE CT APT F105, RUSTON, LA 71270(210) 827-3950 Get Directions Write a Review

NPPES record last updated: March 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2021, Nov 12, 2019, Oct 30, 2018 (3 updates tracked since 2018).

About Amanda M Clark Atc, Lat NPPES

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

AMANDA M CLARK ATC, LAT (NPI 1255808085) is an individual athletic trainer provider in Ruston, Louisiana, licensed in Louisiana (321844) and active in the NPI registry since October 2018. She maintains a secondary practice location in Corpus Christi.

NPPES Registry Identity

NPI1255808085
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameAMANDA M CLARKCredential: ATC, LAT
Location Address2301 TIMBERLINE CT APT F105Ruston, LA 71270
Mailing Address2301 Timberline Ct Apt F105Ruston, LA 71270-5292 · (210) 827-3950
Phone(210) 827-3950
Sole ProprietorNo
Enumeration DateOctober 30, 2018
Last NPPES UpdateMarch 20, 20213 updates tracked since enumeration
NPPES CertifiedMarch 20, 2021
✔ NPI 1255808085 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 LA · 321844
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.

2301 TIMBERLINE CT APT F105, Ruston, LA 71270
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Secondary Practice Location 1

Location 1309 Circle DrCorpus Christi, TX 78412-2529 · Phone (210) 827-3950

Other Identifiers 1

Other1255808085TX · Blue Cross Blue Shield

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 Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1255808085. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Amanda Clark located?

Amanda Clark practices at 2301 Timberline Ct Apt F105, Ruston, LA 71270. The listed phone number is (210) 827-3950.

What is Amanda 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 Amanda Clark was last updated on March 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.