Elaine M Clark is a Pediatrics in Issaquah, Washington. Elaine M Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Elaine M Clark is 1295825511. The last update date is 2007-07-08.
Elaine M Clark's current location address is 710 Nw Juniper St, Issaquah, Washington. You can contact this provider via phone number 4253927989. The mailing address for Elaine M Clark is 710 Nw Juniper St, Issaquah, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine M Clark |
|---|---|
| Address | 710 Nw Juniper St, Issaquah, Washington |
| Phone Number | 4253927989 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1295825511 |
|---|---|
| Provider Enumeration Date | 2006-10-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 710 Nw Juniper St |
|---|---|
| City | Issaquah |
| State | Washington (WA) |
| Post Code | 980272717 |
| Phone Number | 4253927989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT00000762 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7038649 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elaine M Clark?
The Elaine M Clark has been issued the NPI (National Provider Identifier) 1295825511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Elaine M Clark?
The Elaine M Clark is physically situated at 710 Nw Juniper St, in the city of Issaquah, state of WA, with the postal code 980272717.
What is Elaine M Clark's area of expertise and its corresponding taxonomy classification?
The Elaine M Clark's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
When did the Elaine M Clark receive its 1295825511?
The Elaine M Clark was issued its 1295825511 on 2006-10-15, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Elaine M Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elaine M Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1215930425
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