Chad Alan Clark

Physical Therapist · Pocatello, ID

Individual Active NPI

NPI number 1831536994

Practice location

560 Memorial Dr Ste C
Pocatello, ID 83201-4073
Phone
(208) 232-4267
Fax
(855) 319-1499

Open in Google Maps

NPI record

NPI
1831536994
Entity type
Individual (Type 1)
Enumeration date
May 30, 2013
Last updated
May 30, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT - 3181 ID

About Chad Clark

Chad Alan Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 560 Memorial Dr Ste C, Pocatello, ID 83201-4073. The NPI number 1831536994 was assigned on May 30, 2013 and the record was last updated on May 30, 2013.

Chad Clark lists a license in the registry: #PT - 3181 (ID) 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 Chad Alan Clark?

The NPI number is 1831536994.

What is the phone number of Chad Clark?

The phone number listed for the practice location is (208) 232-4267.

Where is Chad Clark located?

560 Memorial Dr Ste C, Pocatello, ID 83201-4073.

What is the taxonomy code for Chad Clark?

The primary taxonomy code is 225100000X – Physical Therapist.

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 Pocatello

All Physical Therapist providers in Pocatello, ID →