Kelly Clark
Kelly Clark is a Physical Therapy Assistant in Weatherford, Texas. Licensed in Texas. Registered with an NPI since 2018.
- Licensed in
- TX
- In the registry since
- 2018
Practice location Address checks out
970 Hilltop DrWeatherford, TX 76086-5488
Phone: (817) 808-1633
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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 2109081 (TX) |
|---|
Record details
| NPI number | 1053893073 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 6, 2018 |
| Last updated in NPPES | September 6, 2018 |
| Mailing address | 3025 Yucca Rd, Willow Park, TX 76087-7116 |
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Nicole Copeland
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Bratina Cruse
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Jay R Daniel, PTA
970 Hilltop Dr, Weatherford, TX 76086-5488 · (817) 599-0000