Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryce E Roark, LAT, ATC

Individual provider Athletic Trainer · NPI 1588924138

Bryce E Roark, LAT, ATC is an Athletic Trainer in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3301 Berrywood Dr Ste 204
Columbia, MO 65201-6517
Phone: (573) 449-8771
Fax: (573) 449-6563
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2010031411 (MO)

Record details

NPI number1588924138
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMay 16, 2012
Last updated in NPPESMarch 18, 2015
Mailing address3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517

Other providers in Columbia