Individual provider · Type 1 NPI

Joseph Brady Clark, PTA

Physical Therapy Assistant · Prescott, AZ

NPI number 1164021093 Active

Practice location

1030 Scott Dr
Prescott, AZ 86301-4737

Mailing address

554 Campbell St
Prescott, AZ 86301-2521

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-012200 (AZ)

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 1164021093

Joseph Brady Clark, PTA's National Provider Identifier is 1164021093, issued on Oct 21, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Prescott, AZ. The record was last updated on Oct 21, 2020.