Jack Clifton Clanton III, PTA

Physical Therapy Assistant · San Angelo, TX

Individual Active NPI

NPI number 1194206524

Practice location

5455 Knickerbocker Rd
San Angelo, TX 76904-7711
Phone
(325) 942-4000
Fax
(325) 944-9571

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NPI record

NPI
1194206524
Entity type
Individual (Type 1)
Enumeration date
August 23, 2018
Last updated
August 23, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2037349 TX

About Jack Clanton

Jack Clifton Clanton III, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 5455 Knickerbocker Rd, San Angelo, TX 76904-7711. The NPI number 1194206524 was assigned on August 23, 2018 and the record was last updated on August 23, 2018.

Jack Clanton lists a license in the registry: #2037349 (TX) 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 Jack Clifton Clanton III, PTA?

The NPI number is 1194206524.

What is the phone number of Jack Clanton?

The phone number listed for the practice location is (325) 942-4000.

Where is Jack Clanton located?

5455 Knickerbocker Rd, San Angelo, TX 76904-7711.

What is the taxonomy code for Jack Clanton?

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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