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

SHAWNA DAVID CLACK, PT, DPT

Active

Physical Therapy Assistant · RICHMOND HILL, GA

Registration Details

NPI Number
1710416185
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2017 (8.9106019827062 yrs)
Last Updated
Jun 8, 2017
License
PT012897 (GA)

Practice Information

Address
60 EXCHANGE ST STE B4
RICHMOND HILL, GA, 313247646
Browse GA providers · Browse ZIP 31324
Phone
9124590072
Fax
9124590511
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in RICHMOND HILL, GA

Name Credential NPI
MS. LISA MARIE BETTIO M.S.R.P.T. 1699774356
MR. KIMBERLEY CHAPMAN PT 1114022688
DR. CHRISTINE LOUISE BOST PT, MS, DPT 1225263668
KATHY WILLS D.P.T. 1508099631
JENNA LYNN GARDNER-MORGAN PT 1528382306
GINA ANN HALDEMAN PT, DPT 1710203740
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.