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

CRYSTA CLARK, DPT

Active

CRYSTA CLARK, DPT is a Physical Therapy Assistant healthcare provider located in MUKWONAGO, Wisconsin. NPI 1992315287 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MUKWONAGO, WI

Registration Details

NPI Number
1992315287
Provider Type
Individual
Gender
Female
NPI Issued
Aug 3, 2020 (6.0301483712028 yrs)
Last Updated
Feb 3, 2026
License
15117 (WI)

Practice Information

Address
240 MAPLE AVE
MUKWONAGO, WI, 531498475
Browse WI providers · Browse ZIP 53149
Phone
2629281715
Fax
2623631918
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MUKWONAGO, WI

Name Credential NPI
MS. ROSE LILLIAN HEBAR PT 1093823247
JOHN CHRISTOPHER BEAUCHAMP PT 1285736793
JOAN E ZACHOW PT 1598854721
MS. KATHRYN L. HAMMER PT 1023198991
WENDY SANDBERG 1275613630
KYLA GALLES BS 1154464857
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.