Individual provider · Type 1 NPI

Stephen Clark

Physical Therapy Assistant · Los Lunas, NM

NPI number 1689387805 Active

Practice location

1400 Main St NW Ste 1&2
Los Lunas, NM 87031-4812

Mailing address

2401 Cabezon Blvd SE Ste 102
Rio Rancho, NM 87124-1513

Other practice locations

  • 2401 Cabezon Blvd SE Ste 102, Rio Rancho, NM 87124-1513 · (505) 994-2599

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA1502 (NM)

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 …

2 other providers at this address

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About NPI 1689387805

Stephen Clark's National Provider Identifier is 1689387805, issued on Jan 3, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Los Lunas, NM. The record was last updated on Jan 3, 2023.