Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Daniel Clark, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1932508165

Jonathan Daniel Clark, MS, LAT, ATC is an Athletic Trainer in Madison, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

11306 County Line Rd
Madison, AL 35756-2011
Phone: (256) 216-5313
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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 1378 (AL)

Record details

NPI number1932508165
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedAugust 13, 2014
Last updated in NPPESAugust 13, 2014
Mailing address925 Franklin St Se Ste A, Huntsville, AL 35801-4307

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