Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Clint Lee Anglin, ATC, LAT

Individual provider Athletic Trainer · NPI 1609105253

Mr. Clint Lee Anglin, ATC, LAT is an Athletic Trainer in Bentonville, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1504 SE 28th St
Bentonville, AR 72712-3988
Phone: (479) 273-1111
Fax: (479) 273-1255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1609105253
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedDecember 10, 2009
Last updated in NPPESDecember 10, 2009

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