Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY ANN CLARK, DPT, PT, MT
Active Sole ProprietorDR. KELLY ANN CLARK, DPT, PT, MT is a Physical Therapy Assistant healthcare provider located in BLOOMINGTON, Indiana. NPI 1528614153 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1528614153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2019 (6.8263076777308 yrs)
- Last Updated
- Aug 9, 2019
- Licenses
-
MT21304740 (IN)05013530A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2620 N WALNUT STSUITE 600BLOOMINGTON, IN, 474042008Browse IN providers · Browse ZIP 47404
- Phone
- 8125580708
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| JASON R VANDEVENTER | MPT | 1205831070 |
| JEFFREY D HEADDY | RPT | 1689679474 |
| SANDRA RAY | PT | 1194722488 |
| RENAE DAWN CARTWRIGHT | PT | 1467447672 |
| THOMAS KELZER | MS.ATC/PT | 1497736565 |
| MS. WENDELINE K. POPPY | PT, LAT, ATC | 1063494011 |
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.