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

Crysta Clark, DPT

Individual provider Physical Therapist · NPI 1992315287

Crysta Clark, DPT is a Physical Therapist in Mukwonago, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

240 Maple Ave
Mukwonago, WI 53149-8475
Phone: (262) 928-1715
Fax: (262) 363-1918
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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 15117 (WI)

Record details

NPI number1992315287
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 3, 2020
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address240 Maple Ave, Mukwonago, WI 53149-8475

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