Dallas Layne Clark in Laketown - Physical Therapist
Dallas Layne Clark - NPI 1972693497
Dallas Layne Clark is a Physical Therapist in Laketown, Utah. Dallas Layne Clark practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Dallas Layne Clark is 1972693497. The last update date is 2007-07-09.
Dallas Layne Clark's current location address is Po Box 152, Laketown, Utah. You can contact this provider via phone number 4359463512 and fax number 4359462311. The mailing address for Dallas Layne Clark is Po Box 152, Laketown, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dallas Layne Clark |
|---|---|
| Address | Po Box 152, Laketown, Utah |
| Phone Number | 4359463512 |
| Fax Number | 4359462311 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1972693497 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 152 |
|---|---|
| City | Laketown |
| State | Utah (UT) |
| Post Code | 840380152 |
| Phone Number | 4359463512 |
| Fax Number | 4359462311 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 6293691-2401 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2282218 | WY | FIRST HEALTH PROVIDER NUM | |
| 5586872 | WY | CCN PROVIDER NUMBER | |
| 313318 | WY | BLUE CROSS BLUE SHIELD | |
| 11433480 | WY | CAQH PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dallas Layne Clark by the Centers for Medicare & Medicaid Services?
The Dallas Layne Clark has been assigned the NPI (National Provider Identifier) 1972693497 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Dallas Layne Clark's physical address?
The Dallas Layne Clark is physically located at Po Box 152, in the city of Laketown, UT, with the postal code 840380152.
What is the Dallas Layne Clark's area of specialization and corresponding taxonomy classification?
The Dallas Layne Clark's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
When did the Dallas Layne Clark receive its 1972693497?
The Dallas Layne Clark was issued its 1972693497 on 2006-10-13, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Dallas Layne Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dallas Layne Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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