Individual provider · Type 1 NPI

Kelly L. Clark, PTA

Physical Therapy Assistant · Conway, AR

NPI number 1053417907 Active

Practice location

1500 Museum Rd Ste 104
Conway, AR 72032-4761

Call (501) 329-3804 Map

Fax (501) 329-0718

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2010 (AR)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1053417907

Kelly L. Clark, PTA's National Provider Identifier is 1053417907, issued on Sep 16, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Conway, AR. The record was last updated on Jul 8, 2007.