Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOEL ELLIS CLARK, P.T.
Active Sole ProprietorJOEL ELLIS CLARK, P.T. is a Physical Therapy Assistant healthcare provider located in WILMORE, Kentucky. NPI 1366617243 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WILMORE, KY
Registration Details
- NPI Number
- 1366617243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2008 (18.322652190122 yrs)
- Last Updated
- Apr 23, 2008
- License
-
005026 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 RABBIT TRLWILMORE, KY, 403901481Browse KY providers · Browse ZIP 40390
- Phone
- 8593212741
- 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.