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

Dallas Brose

Individual provider Athletic Trainer · NPI 1962067132

Dallas Brose is an Athletic Trainer in Clarksville, Arkansas. Practices as a sole proprietor and works from 2 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2019

Practice location Partly verified

Some contact details are missing from the federal record.

415 N College Ave
Clarksville, AR 72830-2880
Show map & directions

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

Additional practice locations (1)

  • 415 N College Ave, Clarksville, AR 72830-2880 — (918) 850-2112

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 854 (AR)

Record details

NPI number1962067132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2019
Last updated in NPPESMay 3, 2019
Mailing address415 N College Ave, Clarksville, AR 72830-2880

Other providers in Clarksville