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

Amanda J Clark, PT

Individual provider Physical Therapist · NPI 1043554256

Amanda J Clark, PT is a Physical Therapist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
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

1312 W Arch Haven Ave Bldg 1320 Ste E
Bloomington, IN 47403-2089
Phone: (812) 336-8406
Fax: (812) 336-8342
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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 05007177A (IN)

Record details

NPI number1043554256
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESFebruary 16, 2015
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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