Individual provider · Type 1 NPI

Kelly Clark

Physical Therapy Assistant · Weatherford, TX

NPI number 1053893073 Active

Practice location

970 Hilltop Dr
Weatherford, TX 76086-5488

Call (817) 808-1633 Map

Mailing address

3025 Yucca Rd
Willow Park, TX 76087-7116

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2109081 (TX)

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 1053893073

Kelly Clark's National Provider Identifier is 1053893073, issued on Sep 6, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Weatherford, TX. The record was last updated on Sep 6, 2018.