Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES CLARK JR., PT
ActiveMR. CHARLES CLARK JR., PT is a Physical Therapy Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1225052210 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LOUISVILLE, KY
Registration Details
- NPI Number
- 1225052210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (19.866110637915 yrs)
- Last Updated
- Aug 13, 2019
- License
-
003320 (KY)
Practice Information
- Address
-
805 BLANKENBAKER PKWYSUITE 107LOUISVILLE, KY, 402431894Browse KY providers · Browse ZIP 40243
- Phone
- 5022530833
- Fax
- 5022530834
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| ROBERT J POWRIE | PT | 1316947013 |
| MARY SUSAN DUNN | PT | 1003802802 |
| CAROLYN N PARRACK | PT | 1952398968 |
| KRISTIN LEIGH FLEIDER-ZOPH | PT | 1609863695 |
| HOLLY DANIELLE HABEEB | MS PT | 1225027444 |
| ROBERT ROBERTS | PT | 1649260456 |
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.