Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK ALLEN CLARK, PHYSICAL THERAPIST
Deactivated Sole ProprietorMR. MARK ALLEN CLARK, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in LAGRANGE, Kentucky. NPI 1912929720 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAGRANGE, KY
This NPI has been deactivated.
The record was deactivated on May 17, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912929720
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (15.813698630137 yrs)
- Last Updated
- May 31, 2022
- Deactivated
- May 17, 2022
- License
-
001751 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5201 ARROWSHIRE DRLAGRANGE, KY, 400319600Browse KY providers · Browse ZIP 40031
- Phone
- 5022222615
- Fax
- 5022222617
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LAGRANGE, KY
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE EDWARD HERBIG II | P.T. | 1255401923 |
| MR. NICHOLAS A AUSTIN | MSPT, OCS | 1649320250 |
| PATRICIA D GILLETTE | PHYSICAL THERAPIST | 1356552475 |
| ALISA MARIE SKINNER | PT | 1669643854 |
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.