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

Ryan Steven Clark, LAT, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528626959

Ryan Steven Clark, LAT, ATC is a Student in an Organized Health Care Education/Training Program in Joint Base Lewis McChord, Washington. Licensed in Washington. Registered with an NPI since 2019.

Licensed in
WA
In the registry since
2019
Specialties on file
2
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

9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Phone: (208) 819-5174
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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 A161295706 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528626959
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMay 31, 2019
Last updated in NPPESJuly 29, 2022
Certification dateJuly 28, 2022

Other providers in Joint Base Lewis McChord