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

Individual provider Athletic Trainer · NPI 1306248398

Mackenzie Marie Clark, MS, LAT, ATC is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
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

11130 Parkview Circle Dr
Fort Wayne, IN 46845-1735
Phone: (812) 598-7583
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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 36001685A (IN)

Record details

NPI number1306248398
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedSeptember 22, 2014
Last updated in NPPESMarch 8, 2016

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