MACKENZIE MARIE CLARK MS, LAT, ATC
NPI 1306248398
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Q: What is Mackenzie Clark's NPI number?

The NPI number for Mackenzie Clark is 1306248398. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Q: What is Mackenzie Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Clark was last updated on March 8, 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.

Active since September 22, 2014

11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(812) 598-7583 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mackenzie Marie Clark Ms, Lat, Atc NPPES

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

MACKENZIE MARIE CLARK MS, LAT, ATC (NPI 1306248398) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36001685A) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1306248398

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMACKENZIE MARIE CLARKCredential: MS, LAT, ATC

Location Address11130 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1735

Mailing Address11130 Parkview Circle DrFort Wayne, IN 46845-1735 · (812) 598-7583

Phone(812) 598-7583

Sole ProprietorNo

Enumeration DateSeptember 22, 2014

Last NPPES UpdateMarch 8, 2016

✔ NPI 1306248398 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 IN · 36001685A

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.

11130 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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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.

MRS. JENNIFER JEAN BEER MA, LAT, ATC

Specialist/Technologist (Athletic Trainer)