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RYAN STEVEN CLARK LAT, ATC
NPI 1528626959
Specialist/Technologist - Athletic Trainer in Joint Base Lewis Mcchord, WA

Active since May 31, 2019
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431(208) 819-5174 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 29, 2022, May 31, 2019 (2 updates tracked since 2019).

About Ryan Steven Clark Lat, Atc NPPES

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

RYAN STEVEN CLARK LAT, ATC (NPI 1528626959) is an individual athletic trainer provider in Joint Base Lewis Mcchord, Washington, licensed in Washington (A161295706) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1528626959
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameRYAN STEVEN CLARKCredential: LAT, ATC
Location Address9040A JACKSON AVEJoint Base Lewis Mcchord, WA 98431-0001
Mailing Address5410 N 45th StTacoma, WA 98407-3724 · (208) 819-5174
Phone(208) 819-5174
Sole ProprietorNo
Enumeration DateMay 31, 2019
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1528626959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in WA · A161295706
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9040A JACKSON AVE, Joint Base Lewis Mcchord, WA 98431
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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.

TIMOTHY THOMAS CAVANAGH JR. PHARMD
Pharmacist
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2999
MADIGAN ARMY MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital. Operational (Transportable))
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1684
ELIDETH O'DELL
Social Worker (Clinical)
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
TRAVON JOHNSON PSY.D.
Psychologist (Clinical)
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-1110
DR. RICHARD LYLE URBON JR. M.D.
Internal Medicine
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0166
PATRICK ANTHONY HOGG COTA
Occupational Therapy Assistant
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (206) 795-3389
RYAN MICHAEL BROCK PHARM.D
Pharmacist
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (210) 625-2268
SURYA SINGH DO
Internal Medicine (Rheumatology)
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2287

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 Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1528626959. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Ryan Clark located?

Ryan Clark practices at 9040A Jackson Ave, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (208) 819-5174.

What is Ryan 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 Ryan Clark was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.