Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD ALAN CLARK
ActiveCHAD ALAN CLARK is a Physical Therapy Assistant healthcare provider located in POCATELLO, Idaho. NPI 1831536994 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · POCATELLO, ID
Registration Details
- NPI Number
- 1831536994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2013 (13.163491921558 yrs)
- Last Updated
- May 30, 2013
- License
-
PT - 3181 (ID)
Practice Information
- Address
-
560 MEMORIAL DR STE CPOCATELLO, ID, 832014073Browse ID providers · Browse ZIP 83201
- Phone
- 2082324267
- Fax
- 8553191499
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| RICHARD W LEMON | M.P.T. | 1487646733 |
| MRS. KIMBERLY W SCHWARZE | RPT | 1972566354 |
| MRS. JONI D VAUGHN POWELL | RPT | 1962465344 |
| MR. MICHAEL E OTTO | RPT | 1558324590 |
| DR. COREY LAYNE RASMUSSEN | DPT | 1578665329 |
| C RIC BENEDETTI | DPT | 1427147784 |
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.