Individual provider · Type 1 NPI

Kirsten Clark, PT

Specialist · Dearborn, MI

NPI number 1821159690 Active

Practice location

20031 Carlysle St, Suite 3
Dearborn, MI 48124-3803

Fax (313) 277-9176

Mailing address

4204 Martin Rd, Suite A
Commerce Township, MI 48390-4135

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5501004619 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1821159690

Kirsten Clark, PT's National Provider Identifier is 1821159690, issued on Dec 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dearborn, MI. The record was last updated on Jul 8, 2007.