NPI age
19 years
Enumerated 2006-06-26
● Active
Type 1 · Individual
MS. Nicole Lorraine Clark, LAT, ATC
Clark is 1 of 94 specialist/technologist providers in Boise and 1 of 326 in Idaho.
Primary specialty
Specialist/Technologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 326 active specialist/technologist providers in Idaho.
NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
1010 W Washington St
Boise, ID 837025446
Mailing address
6472 W Parapet Dr
Boise, ID 837148849
Specialties
-
Specialist/Technologist PrimaryAthletic 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,...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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