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

Prof. Roger Clark, ATC, PHD

Individual provider Athletic Trainer · NPI 1225458136

Prof. Roger Clark, ATC, PHD is an Athletic Trainer in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2200 Bonforte Blvd
Pueblo, CO 81001-4901
Phone: (719) 549-2530
Fax: (719) 549-2549
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 627 (CO)

Record details

NPI number1225458136
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , PHD
Sole proprietorYes
NPI enumeratedApril 17, 2014
Last updated in NPPESApril 17, 2014
Mailing address2200 Bonforte Blvd, Pueblo, CO 81001-4901

Other providers in Pueblo