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

Edwena Chenelle Clark, PTA

Individual provider Physical Therapy Assistant · NPI 1497316541

Edwena Chenelle Clark, PTA is a Physical Therapy Assistant in Smyrna, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.

Licensed in
TN
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

200 Mayfield Dr
Smyrna, TN 37167-3019
Phone: (615) 355-0350
Fax: (615) 355-5549
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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 3098 (TN)

Record details

NPI number1497316541
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESJune 27, 2019

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