Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly Ann Clark, DPT, PT, MT

Individual provider Massage Therapist · NPI 1528614153

Dr. Kelly Ann Clark, DPT, PT, MT is a Massage Therapist in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

2620 N Walnut St Ste 600
Bloomington, IN 47404-2008
Phone: (812) 558-0708
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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 05013530A (IN)
Massage Therapist Taxonomy 225700000X · Licence MT21304740 (IN)

Record details

NPI number1528614153
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT , MT
Sole proprietorYes
NPI enumeratedAugust 9, 2019
Last updated in NPPESAugust 9, 2019

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