Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CASEY J. CLARK, P.T.
ActiveMR. CASEY J. CLARK, P.T. is a Physical Therapy Assistant healthcare provider located in OXFORD, Mississippi. NPI 1174528871 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OXFORD, MS
Registration Details
- NPI Number
- 1174528871
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2005 (21.117879586946 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT3203 (MS)
Practice Information
- Address
-
2170 S LAMAR BLVDOXFORD, MS, 386555224Browse MS providers · Browse ZIP 38655
- Phone
- 6622348559
- Fax
- 6622347923
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in OXFORD, MS
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL G FULTON | P. T. | 1710982673 |
| MRS. DENE M. FULTON | P.T. | 1558366252 |
| KRISTEN F. HILL | P.T. | 1710978515 |
| MR. BRIAN KYLE WICKER | PT | 1437185188 |
| MR. ANDREW ASHBY BUGLEWICZ | PT | 1003842634 |
| MS. MIRIAM HOBBS WICKER | PT | 1598791956 |
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.