Chandler Clark, PTA
Physical Therapy Assistant · Coppell, TX
Practice location
3100 Olympus Blvd Ste 500Coppell, TX 75019-5473
- Phone
- (214) 442-4329
NPI record
- NPI
- 1619704178
- Entity type
- Individual (Type 1)
- Enumeration date
- September 18, 2024
- Last updated
- September 18, 2024
- Certified
- September 18, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
2182964 | TX |
Mailing address
5401 Hollytree Dr Apt 3002Tyler, TX 75703-3486
- Phone
- (903) 520-0593
About Chandler Clark
Chandler Clark, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473. The NPI number 1619704178 was assigned on September 18, 2024 and the record was last updated on September 18, 2024.
Chandler Clark lists a license in the registry: #2182964 (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 Chandler Clark, PTA?
The NPI number is 1619704178.
What is the phone number of Chandler Clark?
The phone number listed for the practice location is (214) 442-4329.
Where is Chandler Clark located?
3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473.
What is the taxonomy code for Chandler 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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