Individual provider · Type 1 NPI

Keith Wayne Clark, PTA

Physical Therapy Assistant · Winnsboro, TX

NPI number 1346739737 Active

Practice location

406 S Main St
Winnsboro, TX 75494-3226

Call (903) 342-6790 Map

Fax (903) 342-6796

Mailing address

303 Pamela Dr
Mineola, TX 75773-1327

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant	225200000X	CP022392A (MD)
Physical Therapy Assistant	225200000X	1445 (NH)
Physical Therapy Assistant Primary	225200000X	2015517 (TX)
Physical Therapy Assistant	225200000X	041.0134009 (VT)
Physical Therapy Assistant	225200000X	CP026481A (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 1346739737

Keith Wayne Clark, PTA's National Provider Identifier is 1346739737, issued on May 1, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Winnsboro, TX. The record was last updated on Jul 12, 2024.