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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MELISSA CLARK, PT

Active Sole Proprietor

MRS. MELISSA CLARK, PT is a Physical Therapy Assistant healthcare provider located in SOUTHLAKE, Texas. NPI 1609585256 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHLAKE, TX

Registration Details

NPI Number
1609585256
Provider Type
Individual
Gender
Female
NPI Issued
Nov 22, 2022 (3.7288011989738 yrs)
Last Updated
Nov 22, 2022
Licenses
1116291 (TX)
1116291 (TX)
Sole Proprietor
Yes

Practice Information

Address
910 E SOUTHLAKE BLVD STE 155
SOUTHLAKE, TX, 760926389
Browse TX providers · Browse ZIP 76092
Phone
8174215000
Fax
9725068733
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SOUTHLAKE, TX

Name Credential NPI
MRS. KAREN SHALINI HARMON PT 1346216660
MS. LESLIE LEAH WILLIAMS PT 1952379752
MR. COREY THOMAS LONG PT 1861460511
MRS. MEGGEN SMILEY HEISSERER 1245209808
MARLA B. HAMPTON PT 1669410429
JANE E.A. SINSHEIMER PT 1194743328
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.