Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisha Shavon Clark, PT

Individual provider Physical Therapist · NPI 1942637012

Alisha Shavon Clark, PT is a Physical Therapist in Southaven, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2013
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4740 Highway 51 N Bldg 17 Apt 208
Southaven, MS 38671-7940
Phone: (901) 238-1624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4135 (MS)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence PT4135 (MS)

Record details

NPI number1942637012
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 3, 2013
Last updated in NPPESOctober 3, 2013

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