Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK DWIGHT CLARK, DPT
ActivePhysical Therapy Assistant · MANNINGTON, WV
Registration Details
- NPI Number
- 1902059843
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2008 (17.494597556632 yrs)
- Last Updated
- Sep 26, 2012
- License
-
2714 (WV)
Practice Information
- Address
-
116 MARKET STMANNINGTON, WV, 265821131Browse WV providers · Browse ZIP 26582
- Phone
- 3049861568
- Fax
- 3049861373
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MANNINGTON, WV
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER J MOORE | P.T. | 1598701997 |
| JONATHAN B WILSON | DPT | 1760791552 |
| LORI-ANN MICHELLE JACKSON | DPT | 1235430257 |
| JOSEPH ADAM POTESTA | DPT | 1578912812 |
| BENJAMIN DAVID RAY | DPT | 1285158790 |
| COLE AMOS | — | 1861237174 |
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.