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

Kelly Clark, DPT

Individual provider Physical Therapist · NPI 1720446891

Kelly Clark, DPT is a Physical Therapist in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone: (734) 655-2857
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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 5501017044 (MI)

Record details

NPI number1720446891
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 4, 2016
Last updated in NPPESApril 9, 2018

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