Individual provider · Type 1 NPI

Marie D. Clark, PTA

Physical Therapy Assistant · Gallatin, MO

NPI number 1518152685 Active

Practice location

1337 W Grand St
Gallatin, MO 64640-8320

Fax (660) 663-4128

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	2001001897 (MO)

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 1518152685

Marie D. Clark, PTA's National Provider Identifier is 1518152685, issued on Sep 11, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Gallatin, MO. The record was last updated on Sep 11, 2007.