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

Individual provider Physical Therapy Assistant · NPI 1972803476

Jennifer Evangeline Clark, PTA is a Physical Therapy Assistant in Etowah, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
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

878 Highway 411 N
Etowah, TN 37331-1912
Phone: (423) 263-7070
Fax: (423) 263-7077
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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 PTA4826 (TN)

Record details

NPI number1972803476
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 30, 2010
Last updated in NPPESOctober 30, 2010