Individual provider · Type 1 NPI

Chandler Clark, PTA

Physical Therapy Assistant · Coppell, TX

NPI number 1619704178 Active

Practice location

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473

Call (214) 442-4329 Map

Mailing address

5401 Hollytree Dr Apt 3002
Tyler, TX 75703-3486

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2182964 (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 1619704178

Chandler Clark, PTA's National Provider Identifier is 1619704178, issued on Sep 18, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Coppell, TX. The record was last updated on Sep 18, 2024.