Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWENA CHENELLE CLARK, PTA
ActiveEDWENA CHENELLE CLARK, PTA is a Occupational Therapist healthcare provider located in SMYRNA, Tennessee. NPI 1497316541 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SMYRNA, TN
Registration Details
- NPI Number
- 1497316541
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2019 (7.1241757204662 yrs)
- Last Updated
- Jun 27, 2019
- License
-
3098 (TN)
Practice Information
- Address
-
200 MAYFIELD DRSMYRNA, TN, 371673019Browse TN providers · Browse ZIP 37167
- Phone
- 6153550350
- Fax
- 6153555549
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SMYRNA, TN
| Name | Credential | NPI |
|---|---|---|
| SUSAN HEISER | — | 1205946019 |
| MRS. LORI ELIZABETH HAGAN | PTA | 1881734671 |
| LESLIE REED | PTA | 1528226578 |
| RAYMOND LEE ROBERTS | PTA | 1447503289 |
| EMILY DENISE KELLEY | PTA | 1922525294 |
| KATHERINE DAKURI | PTA, BS | 1417425174 |
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.