LATISHA CLARK MS, ATC, LAT
NPI 1750756706
Specialist/Technologist - Athletic Trainer in San Antonio, TX

NPI Status: Active since December 02, 2015

Contact Information

4301 BROADWAY ST
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 829-3826

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About LATISHA CLARK

This page provides the complete NPI Profile along with additional information for Latisha Clark, a provider established in San Antonio, Texas with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1750756706 assigned on December 2015. The practitioner's primary taxonomy code is 2255A2300X with license number AT4794 (TX). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1750756706
Provider Name
LATISHA CLARK MS, ATC, LAT
Gender
Female
Entity Type
Individual
Location Address
4301 BROADWAY ST SAN ANTONIO, TX 78209
Location Phone
(210) 829-3826
Mailing Address
4301 BROADWAY ST SAN ANTONIO, TX 78209
Is Sole Proprietor?
No
Enumeration Date
12-02-2015
Last Update Date
12-02-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
AT4794
License State
TX
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750756706
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001451270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 5 + 1 + 2 + 7 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750756706 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023159555 MARK C. GRANBERRY PHARM.D.
Individual
Pharmacist (Pharmacotherapy)4301 BROADWAY ST CPO99
SAN ANTONIO, TX 78209
(210) 805-3025
1427278704DR. JEFFREY THOMAS COPELAND PHARM.D., R.PH.
Individual
Pharmacist4301 BROADWAY ST UNIVERSITY OF THE INCARNATE WORD
SAN ANTONIO, TX 78209
(210) 805-3034
1023226644DR. JOHN MARK TOVAR PHARM.D.
Individual
Pharmacist (Pharmacotherapy)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 832-2117
1043472186DR. GLORIA BLAIR SARBACKER PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)4301 BROADWAY ST CPO 99
SAN ANTONIO, TX 78209
(210) 883-1094
1487932596 SHELEA WEBER
Individual
Pharmacy Technician4301 BROADWAY ST CPO 99
SAN ANTONIO, TX 78209
(210) 883-1000
1942607718 REID FISHER ATC
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST CPO 300
SAN ANTONIO, TX 78209
(210) 283-6446
1346206026 BERNARD JOSEPH LOUGH ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-3834
1528433562 SERGIO JAVIER VALVERDE ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-3834
1518332022MRS. DONLOUISE MARTENS ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-3834
1083063788DR. HANSITA B PATEL PHARM.D.
Individual
Pharmacist (Ambulatory Care)4301 BROADWAY ST CPO 99
SAN ANTONIO, TX 78209
(210) 883-1145
1215436282 LIDIA GARCIA ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-3826
1215432018DR. RONDA PERRIN GOTTLIEB FNP
Individual
Nurse Practitioner4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-6017
1134696552 AGUSTIN MELENDEZ JR. ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-3834
1699238600 DEBBIE GARCIA
Individual
Counselor4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 841-7244
1588208409MR. ANTHONY KISER ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-6000
1467087825DR. VANESSA LUCIA RENDON-CAZAREZ DNP, APRN, FNP-C
Individual
Nurse Practitioner (Family)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-6017
1356964589 APRIL HERNANDEZ LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 805-5873
1902226681 SHANDRA ESPARZA EDD
Individual
Specialist/Technologist (Athletic Trainer)4301 BROADWAY ST CPO 472
SAN ANTONIO, TX 78209
(210) 832-2132
1528707254DR. MARISSA ALEJANDRA GONZALEZ DO
Individual
Student in an Organized Health Care Education/Training Program4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 829-6005
1730609082 PHILLIP LODICO DO
Individual
Family Medicine4301 BROADWAY ST
SAN ANTONIO, TX 78209
(210) 283-6304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750756706, enumerated in the NPI registry as an "individual" on December 02, 2015

The provider is located at 4301 Broadway St San Antonio, Tx 78209 and the phone number is (210) 829-3826

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on December 02, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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