Madison Rae Clark
Madison Rae Clark is an Athletic Trainer in Independence, Missouri. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
15413 E 3rd Ter SIndependence, MO 64050-2289
Phone: (816) 585-5717
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1821531492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 29, 2016 |
| Last updated in NPPES | December 1, 2016 |
| Mailing address | 411 Central Methodist Sq, Fayette, MO 65248-1104 |
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