Michael J. Clark, PT

Physical Therapist · Walla Walla, WA

Individual Active NPI

NPI number 1306849955

Practice location

275 W Tietan St
Walla Walla, WA 99362-4363
Phone
(509) 522-0114
Fax
(509) 522-9868

Open in Google Maps

NPI record

NPI
1306849955
Entity type
Individual (Type 1)
Enumeration date
May 27, 2005
Last updated
September 15, 2022
Certified
September 15, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT00005772 WA
Physical Therapist 225100000X 2569 OR

About Michael Clark

Michael J. Clark, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 275 W Tietan St, Walla Walla, WA 99362-4363. The NPI number 1306849955 was assigned on May 27, 2005 and the record was last updated on September 15, 2022.

Michael Clark lists 2 licenses in the registry: #PT00005772 (WA) for Physical Therapist; #2569 (OR) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael J. Clark, PT?

The NPI number is 1306849955.

What is the phone number of Michael Clark?

The phone number listed for the practice location is (509) 522-0114.

Where is Michael Clark located?

275 W Tietan St, Walla Walla, WA 99362-4363.

What is the taxonomy code for Michael Clark?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

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 Therapist providers in Walla Walla

All Physical Therapist providers in Walla Walla, WA →