Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARK JOHNSON
ActiveCLARK JOHNSON is a Physical Therapy Assistant healthcare provider located in LOGAN, Utah. NPI 1407124910 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LOGAN, UT
Registration Details
- NPI Number
- 1407124910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2011 (14.645018059252 yrs)
- Last Updated
- May 9, 2023
- Licenses
-
9307 (AZ)38312 (CA)06226 (OR)19237 (MA)8030412-2401 (UT)
Practice Information
- Address
-
258 S MAIN ST STE 210LOGAN, UT, 843215768Browse UT providers · Browse ZIP 84321
- Phone
- 4353836120
- Fax
- 4355578003
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| LORI CHRISTIE OLSEN | — | 1366463259 |
| JOHN D COLE | PT | 1598789448 |
| TRACY WALKER | PT | 1164446019 |
| NATHAN A YOUNG | PT | 1194749036 |
| DOUGLAS W STROMBERG | PT | 1538183470 |
| GEORGE LEE ROSS | PT | 1932123874 |
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.