Individual provider · Type 1 NPI

Charles Kevin Clark, P.T.

Physical Therapist · Phoenix, AZ

NPI number 1093722902 Active

Practice location

10214 N Tatum Blvd, Suite B-500
Phoenix, AZ 85028-4224

Fax (480) 264-6328

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X5471 (AZ)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1093722902

Charles Kevin Clark, P.T.'s National Provider Identifier is 1093722902, issued on Aug 2, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 9, 2019.