Marie D Clark in Gallatin - Physical Therapy Assistant

Marie D Clark - NPI 1518152685

Marie D Clark is a Physical Therapy Assistant in Gallatin, Missouri. Marie D Clark practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Marie D Clark is 1518152685. The last update date is 2007-09-11.

Marie D Clark's current location address is 1337 W Grand St, Gallatin, Missouri. You can contact this provider via phone number 6606632197 and fax number 6606634128. The mailing address for Marie D Clark is 1337 W Grand St, Gallatin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Marie D Clark
Address 1337 W Grand St, Gallatin, Missouri
Phone Number 6606632197
Fax Number 6606634128
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1518152685
Provider Enumeration Date 2007-09-11
Last Updated Date 2007-09-11

Provider Mailing Address Detail

Address 1337 W Grand St
City Gallatin
State Missouri (MO)
Post Code 646408320
Phone Number 6606632197
Fax Number 6606634128

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2001001897
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Marie D Clark

What is the unique 10-digit identification code issued to Marie D Clark by the Centers for Medicare & Medicaid Services?

The Marie D Clark has been assigned the NPI (National Provider Identifier) 1518152685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Marie D Clark located?

The Marie D Clark is located at 1337 W Grand St, Gallatin, MO 646408320.

What is Marie D Clark's area of expertise and its corresponding taxonomy classification?

The Marie D Clark's field of specialization is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1518152685 to Marie D Clark?

The Marie D Clark received its 1518152685 assignment from the Centers for Medicare & Medicaid Services on 2007-09-11.

As of what date was the information regarding Marie D Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Marie D Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-11.

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