MISS STEPHANIE LYNN CLARK ATC
NPI 1487047767
Specialist/Technologist - Athletic Trainer in Elkview, WV

Q: What is Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1487047767. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Q: What is Stephanie 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 Stephanie Clark was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 March 11, 2015

105 CREDES LNDG, ELKVIEW, WV 25071(304) 965-7979 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Stephanie Lynn Clark Atc NPPES

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

MISS STEPHANIE LYNN CLARK ATC (NPI 1487047767) is an individual athletic trainer provider in Elkview, West Virginia, licensed in West Virginia (50665) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1487047767

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMISS STEPHANIE LYNN CLARKCredential: ATC

Location Address105 CREDES LNDGElkview, WV 25071-8185

Mailing Address1 Alexa Way Apt 4Elkview, WV 25071-9473 · (304) 904-5531

Phone(304) 965-7979

Sole ProprietorNo

Enumeration DateMarch 11, 2015

✔ NPI 1487047767 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 WV · 50665

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.

105 CREDES LNDG, Elkview, WV 25071

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Other Providers at the Same Location NPPES 5

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

ASHLEY NICOLE MITCHELL PT

Physical Therapist