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

Dillon Clark

Individual provider Athletic Trainer · NPI 1255290524

Dillon Clark is an Athletic Trainer in Pocatello, Idaho. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

921 S 8th Ave
Pocatello, ID 83209-8105
Phone: (208) 282-4636
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1255290524
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 21, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address1002 Samuel St Trlr 111, Pocatello, ID 83204-2091

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