Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH WAYNE CLARK, PTA
ActiveKEITH WAYNE CLARK, PTA is a Occupational Therapist healthcare provider located in WINNSBORO, Texas. NPI 1346739737 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WINNSBORO, TX
Registration Details
- NPI Number
- 1346739737
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2018 (8.2449223854792 yrs)
- Last Updated
- Jul 12, 2024
- Licenses
-
CP022392A (MD)1445 (NH)2015517 (TX)041.0134009 (VT)CP026481A (VA)
Practice Information
- Address
-
406 S MAIN STWINNSBORO, TX, 754943226Browse TX providers · Browse ZIP 75494
- Phone
- 9033426790
- Fax
- 9033426796
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in WINNSBORO, TX
| Name | Credential | NPI |
|---|---|---|
| TALITHA WHITE | PTA | 1750641916 |
| BETH KENNAMER | PTA | 1346500063 |
| WILLIAM MEANS III | — | 1508127218 |
| REBECCA NIX | PTA | 1386989598 |
| MRS. JENNIE MARIE LOGAN | PTA | 1235525841 |
| MISTY ANN KERR | PTA | 1326536491 |
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.