Individual provider · Type 1 NPI

Debra Mae Clark, PTA

Physical Therapy Assistant · Pittsburg, KS

NPI number 1154665669 Active

Practice location

1502 E Centennial Dr
Pittsburg, KS 66762-6718

Mailing address

242 S 160th St
Girard, KS 66743-9487

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X14-01411 (KS)

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 1154665669

Debra Mae Clark, PTA's National Provider Identifier is 1154665669, issued on Nov 21, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pittsburg, KS. The record was last updated on Nov 21, 2012.