Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTA M CLARK
Active Sole ProprietorKRISTA M CLARK is a Physical Therapist Assistant healthcare provider located in OLD HICKORY, Tennessee. NPI 1073687224 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · OLD HICKORY, TN
Registration Details
- NPI Number
- 1073687224
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2006 (19.753919634372 yrs)
- Last Updated
- Dec 5, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
810 HADLEY AVEOLD HICKORY, TN, 371383121Browse TN providers · Browse ZIP 37138
- Phone
- 6158478000
- Fax
- 6158474693
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.