MS. NICOLE LORRAINE CLARK LAT, ATC
NPI 1538196563
Specialist/Technologist - Athletic Trainer in Boise, ID

Q: What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1538196563. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Nicole 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 Nicole Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 26, 2006

1010 W WASHINGTON ST, BOISE, ID 83702(208) 854-4270(208) 854-4271 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Nicole Lorraine Clark Lat, Atc NPPES

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

MS. NICOLE LORRAINE CLARK LAT, ATC (NPI 1538196563) is an individual athletic trainer provider in Boise, Idaho, licensed in Idaho (AT-208) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1538196563

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMS. NICOLE LORRAINE CLARKCredential: LAT, ATC

Location Address1010 W WASHINGTON STBoise, ID 83702-5446

Mailing Address6472 W Parapet DrBoise, ID 83714-8849 · (208) 377-3597

Phone(208) 854-4270

Fax(208) 854-4271

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1538196563 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 ID · AT-208

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.

1010 W WASHINGTON ST, Boise, ID 83702

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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.

CARISSA KANE LAT, ATC

Specialist/Technologist (Athletic Trainer)