Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA J CLARK, PT
ActiveAMANDA J CLARK, PT is a Physical Therapy Assistant healthcare provider located in BLOOMINGTON, Indiana. NPI 1043554256 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1043554256
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2012 (13.743997338721 yrs)
- Last Updated
- Feb 16, 2015
- License
-
05007177A (IN)
Practice Information
- Address
-
1312 W ARCH HAVEN AVE BLDG 1320SUITE EBLOOMINGTON, IN, 474032089Browse IN providers · Browse ZIP 47403
- Phone
- 8123368406
- Fax
- 8123368342
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| JASON R VANDEVENTER | MPT | 1205831070 |
| JEFFREY D HEADDY | RPT | 1689679474 |
| SANDRA RAY | PT | 1194722488 |
| RENAE DAWN CARTWRIGHT | PT | 1467447672 |
| THOMAS KELZER | MS.ATC/PT | 1497736565 |
| MS. WENDELINE K. POPPY | PT, LAT, ATC | 1063494011 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.