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

NICOLE GINETTE CLARK, MSPT, PHD

Active

NICOLE GINETTE CLARK, MSPT, PHD is a Physical Therapy Assistant healthcare provider located in LANSING, Kansas. NPI 1821055724 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LANSING, KS

Registration Details

NPI Number
1821055724
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2006 (20.261135406663 yrs)
Last Updated
Jul 8, 2021
Licenses
22938 (MD)
PT22633 (FL)
11-06834 (KS)

Practice Information

Address
1004 PROGRESS DR STE 100
LANSING, KS, 660436323
Browse KS providers · Browse ZIP 66043
Phone
9133513586
Fax
9133513939
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LANSING, KS

Name Credential NPI
BRIAN W KLAMM PT 1407851462
JASON S LANGFORD MPT 1316957145
ERIN KATIE IDACAVAGE PT, MPT, GCS 1225134349
ANDREA N DAVIS MPT 1689765588
MIKE A MENDIOLA BS 1144361015
KARLENE DUDLEY PT 1922219443
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.