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

Individual provider Physical Therapy Assistant · NPI 1164948337

Kelsey Anne Clark is a Physical Therapy Assistant in Coppell, Texas. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2017
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Practice location Address checks out

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630
Phone: (469) 706-1045
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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 A4773 (MD)

Record details

NPI number1164948337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2017
Last updated in NPPESAugust 18, 2017

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