Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES KEVIN CLARK, P.T.
Active Sole ProprietorMR. CHARLES KEVIN CLARK, P.T. is a Physical Therapy Assistant healthcare provider located in PHOENIX, Arizona. NPI 1093722902 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PHOENIX, AZ
Registration Details
- NPI Number
- 1093722902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (20.047182974694 yrs)
- Last Updated
- Sep 9, 2019
- License
-
5471 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10214 N TATUM BLVDSUITE B-500PHOENIX, AZ, 850284224Browse AZ providers · Browse ZIP 85028
- Phone
- 4802646326
- Fax
- 4802646328
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| JAMES H KOSTREWA | PT | 1679576698 |
| MS. TERESA N GRAFF | PT | 1770586455 |
| MR. CHAD REILLY | MPT | 1194728410 |
| MR. JONATHAN ISAAC SCHIBEL | PT | 1649275900 |
| DOUGLAS BROWN RICE | BSPT | 1588661888 |
| CHANDRIKA LOTWALA | DPT | 1871590174 |
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.