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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICHOLAS CLARK, DPT

Active Sole Proprietor

DR. NICHOLAS CLARK, DPT is a Physical Therapy Assistant healthcare provider located in KNIGHTSVILLE, Indiana. NPI 1295402659 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KNIGHTSVILLE, IN

Registration Details

NPI Number
1295402659
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2021 (4.9540079840558 yrs)
Last Updated
Aug 24, 2021
Sole Proprietor
Yes

Practice Information

Address
954 E KNIGHT ST
KNIGHTSVILLE, IN, 478578023
Browse IN providers · Browse ZIP 47857
Phone
8122232172
Primary Specialty
Physical Therapy Assistant
225100000X
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.