Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TODD K A CLARK, MSPT
ActivePhysical Therapy Assistant · KAILUA, HI
Registration Details
- NPI Number
- 1790850758
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2006 (19.453624417771 yrs)
- Last Updated
- May 11, 2017
- Licenses
-
1978 (HI)PT1978 (HI)
Practice Information
- Address
-
1090 KEOLU DRSUITE 104KAILUA, HI, 967343871Browse HI providers · Browse ZIP 96734
- Phone
- 8082622292
- Fax
- 8082622293
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in KAILUA, HI
| Name | Credential | NPI |
|---|---|---|
| MARK K IWASAKI | PT | 1285688408 |
| EVERETT R WONG | MSPT | 1679520985 |
| SHEILA MARIE HARRIS | P.T. | 1568499960 |
| ANDREA M. TAYLOR | MS,PT | 1083621775 |
| DR. JOANNA MARIE BILANCIERI | DPT | 1639287063 |
| MATTI JACKSON | — | 1558472688 |
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.