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

Individual provider Athletic Trainer · NPI 1104279371

John Clougherty, MED, LAT, ATC is an Athletic Trainer in Lavon, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

12038 State Highway 205
Lavon, TX 75166-1846
Phone: (972) 722-4875
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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 AT0633 (TX)

Record details

NPI number1104279371
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , LAT , ATC
Sole proprietorYes
NPI enumeratedJuly 22, 2016
Last updated in NPPESJuly 22, 2016