Individual provider · Type 1 NPI

Crystal Nichols Clark, LPTA

Physical Therapy Assistant · Rustburg, VA

NPI number 1104155480 Active

Practice location

4968 Bethany Rd
Rustburg, VA 24588-3693

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306001767 (VA)

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 1104155480

Crystal Nichols Clark, LPTA's National Provider Identifier is 1104155480, issued on Dec 15, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rustburg, VA. The record was last updated on Dec 15, 2009.