Crystal Nichols Clark, LPTA
Physical Therapy Assistant · Rustburg, VA
Practice location
4968 Bethany RdRustburg, VA 24588-3693
- Phone
- (434) 845-3554
NPI record
- NPI
- 1104155480
- Entity type
- Individual (Type 1)
- Enumeration date
- December 15, 2009
- Last updated
- December 15, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
2306001767 | VA |
About Crystal Clark
Crystal Nichols Clark, LPTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 4968 Bethany Rd, Rustburg, VA 24588-3693. The NPI number 1104155480 was assigned on December 15, 2009 and the record was last updated on December 15, 2009.
Crystal Clark lists a license in the registry: #2306001767 (VA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Crystal Nichols Clark, LPTA?
The NPI number is 1104155480.
What is the phone number of Crystal Clark?
The phone number listed for the practice location is (434) 845-3554.
Where is Crystal Clark located?
4968 Bethany Rd, Rustburg, VA 24588-3693.
What is the taxonomy code for Crystal Clark?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physical Therapy Assistant providers in Rustburg
- Vallerie Burnell, LPTA1051j Village Hwy
- Courtney Ayers, LPTA418 Pauls Rd
- Tori L. Dellis, LPTA562 Acorn Dr