Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Nicole Lorraine Clark, LAT, ATC

Individual provider Athletic Trainer · NPI 1538196563

MS. Nicole Lorraine Clark, LAT, ATC is an Athletic Trainer in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
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

1010 W Washington St
Boise, ID 83702-5446
Phone: (208) 854-4270
Fax: (208) 854-4271
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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 AT-208 (ID)

Record details

NPI number1538196563
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 8, 2007

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