Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTA JEAN CLARK, P.T.
Active Sole ProprietorKRISTA JEAN CLARK, P.T. is a Physical Therapy Assistant healthcare provider located in MIDWAY, Utah. NPI 1114935301 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MIDWAY, UT
Registration Details
- NPI Number
- 1114935301
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2006 (20.020265121554 yrs)
- Last Updated
- Mar 17, 2018
- License
-
116187-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 E MAIN ST STE 111MIDWAY, UT, 840496828Browse UT providers · Browse ZIP 84049
- Phone
- 4356570123
- Fax
- 4356570330
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MIDWAY, UT
| Name | Credential | NPI |
|---|---|---|
| CAROLINE J RHODES | — | 1215754908 |
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.