Individual provider · Type 1 NPI

Kelsey Anne Clark

Physical Therapy Assistant · Coppell, TX

NPI number 1164948337 Active

Practice location

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630

Mailing address

9053 Truman St
San Diego, CA 92129-3629

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA4773 (MD)

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 1164948337

Kelsey Anne Clark's National Provider Identifier is 1164948337, issued on Aug 18, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Coppell, TX. The record was last updated on Aug 18, 2017.