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

Carlie Clark, ATC, LAT, CES

Individual provider Athletic Trainer · NPI 1114383122

Carlie Clark, ATC, LAT, CES is an Athletic Trainer in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2016.

Licensed in
OH
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

725 University Blvd
Dayton, OH 45435-0001
Phone: (937) 245-7559
Fax: (937) 425-0736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT.003570 (OH)

Record details

NPI number1114383122
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT , CES
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJanuary 6, 2016

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