Individual provider · Type 1 NPI

Jennifer Evangeline Clark, PTA

Physical Therapy Assistant · Etowah, TN

NPI number 1972803476 Active

Practice location

878 Highway 411 N
Etowah, TN 37331-1912

Call (423) 263-7070 Map

Fax (423) 263-7077

Mailing address

8823 Production Ln
Ooltewah, TN 37363-6511

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA4826 (TN)

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 …

8 other providers at this address

About NPI 1972803476

Jennifer Evangeline Clark, PTA's National Provider Identifier is 1972803476, issued on Oct 30, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Etowah, TN. The record was last updated on Oct 30, 2010.