Individual provider · Type 1 NPI

Courtney Shay Clark, PTA

Physical Therapy Assistant · Lubbock, TX

NPI number 1619108446 Active

Practice location

3223 S Loop 289, Ste 101
Lubbock, TX 79423-1337

Call (806) 792-5522 Map

Fax (806) 785-7582

Mailing address

25 Briercroft Office Park
Lubbock, TX 79412-3011

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2070918 (TX)

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 1619108446

Courtney Shay Clark, PTA's National Provider Identifier is 1619108446, issued on Jul 28, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lubbock, TX. The record was last updated on Oct 14, 2009.