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

Conie Clark

Individual provider Physical Therapy Assistant · NPI 1164098083

Conie Clark is a Physical Therapy Assistant in Clarence, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
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Practice location Address checks out

111 E St
Clarence, MO 63437-1902
Phone: (660) 699-2118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2020021602 (MO)

Record details

NPI number1164098083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address12864 Harvestor Ave, New Cambria, MO 63558-3135

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