Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL J CLARK, PT
ActiveMICHAEL J CLARK, PT is a Physical Therapy Assistant healthcare provider located in WALLA WALLA, Washington. NPI 1306849955 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WALLA WALLA, WA
Registration Details
- NPI Number
- 1306849955
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2005 (21.17668021367 yrs)
- Last Updated
- Sep 15, 2022
- Licenses
-
2569 (OR)PT00005772 (WA)
Practice Information
- Address
-
275 W TIETAN STWALLA WALLA, WA, 993624363Browse WA providers · Browse ZIP 99362
- Phone
- 5095220114
- Fax
- 5095229868
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WALLA WALLA, WA
| Name | Credential | NPI |
|---|---|---|
| DAVID LLOYD TUPPER | P.T. | 1932109626 |
| MR. ROGER JAY RUSSELL | PT | 1871576439 |
| GEORGE A ARIAS | M.S.P.T. | 1407820103 |
| MICHAEL D GREGG | M.S.P.T. | 1205800901 |
| RACHELLE L HARTMAN | P.T. | 1245280494 |
| DAVE PAUL BARCENAS | MSPT | 1063431864 |
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.