Kelsey Anne Clark

Physical Therapy Assistant · Coppell, TX

Individual Active NPI

NPI number 1164948337

Practice location

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630
Phone
(469) 706-1045

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NPI record

NPI
1164948337
Entity type
Individual (Type 1)
Enumeration date
August 18, 2017
Last updated
August 18, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X A4773 MD

Mailing address

9053 Truman St
San Diego, CA 92129-3629
Phone
(858) 349-9556

About Kelsey Clark

Kelsey Anne Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4630. The NPI number 1164948337 was assigned on August 18, 2017 and the record was last updated on August 18, 2017.

Kelsey Clark lists a license in the registry: #A4773 (MD) 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 Kelsey Anne Clark?

The NPI number is 1164948337.

What is the phone number of Kelsey Clark?

The phone number listed for the practice location is (469) 706-1045.

Where is Kelsey Clark located?

8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4630.

What is the taxonomy code for Kelsey 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.

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