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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHAD ALAN CLARK, MSPT

Active

MR. CHAD ALAN CLARK, MSPT is a Physical Therapy Assistant healthcare provider located in PUEBLO, Colorado. NPI 1083617906 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PUEBLO, CO

Registration Details

NPI Number
1083617906
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2005 (21.180814440202 yrs)
Last Updated
Sep 1, 2011
License
5835 (CO)

Practice Information

Address
58 GLENROYAL DR
PUEBLO, CO, 810052174
Browse CO providers · Browse ZIP 81005
Phone
7195656678
Fax
7195610577
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PUEBLO, CO

Name Credential NPI
DANE M FARNWORTH PT 1023093200
WILLIAM S GREY PT 1851376701
MR. JOSEPH DAVID RUZICH PT 1598728743
HUGH PARKER PT 1992753693
MR. BARRY D BROWN PT 1366491615
MRS. SHANNON SNOW P.T. 1508818428
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.