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

Kelly Marie Clark

Individual provider Physical Therapist · NPI 1124685383

Kelly Marie Clark is a Physical Therapist in Dallas, Texas. Licensed in Florida and Texas. Registered with an NPI since 2019.

Licensed in
FL, TX
In the registry since
2019
Specialties on file
2

Practice location Address checks out

909 N Washington Ave
Dallas, TX 75246-1520
Phone: (214) 820-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1306889 (TX)
Physical Therapist Taxonomy 225100000X · Licence PT33953 (FL)

Record details

NPI number1124685383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESMay 23, 2019

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