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

Isabeau Clark, PTA

Individual provider Physical Therapy Assistant · NPI 1104395706

Isabeau Clark, PTA is a Physical Therapy Assistant in Merriam, Kansas. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
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

10000 W 75th St Ste 250
Merriam, KS 66204-2218
Phone: (888) 913-1910
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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 A6586 (NC)

Record details

NPI number1104395706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 13, 2018
Last updated in NPPESNovember 13, 2018
Mailing address1065 Tuckda Way, Hamptonville, NC 27020-8291

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