Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JOHN CLARK JR., DPT
ActivePhysical Therapy Assistant · SAINT PETERSBURG, FL
Registration Details
- NPI Number
- 1144740580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2017 (8.8588503435785 yrs)
- Last Updated
- Feb 3, 2022
- License
-
PT32691 (FL)
Practice Information
- Address
-
6619 1ST AVE SSAINT PETERSBURG, FL, 337071305Browse FL providers · Browse ZIP 33707
- Phone
- 4173155577
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAINT PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN MARIE SORRENTO | P.T. | 1205833803 |
| BIANCA LYDIA HORNIK | M.P.T. | 1710023387 |
| CHERIE LYNNE WARING | MSPT | 1093854267 |
| RICHARD ANTHONY REDENBO | RPT | 1205042538 |
| KAREN SUE BREEDLOVE | PT | 1679783500 |
| JENNIFER L WALLACE | P.T. | 1306035431 |
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.