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

Krista Jean Clark, PT

Individual provider Physical Therapist · NPI 1114935301

Krista Jean Clark, PT is a Physical Therapist in Private Practice in Midway, Utah. Qualified in 1984, 42 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
42
Licensed in
UT
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

210 E Main St Ste 111
Midway, UT 84049-6828
Phone: (435) 657-0123
Fax: (435) 657-0330
Show map & directions

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

Additional practice locations (2)

  • 37 West Main St., Midway, UT 84049-6806 — (435) 657-0123
  • 37 West Main St., Midway, UT 84049-6806 — (435) 657-0123

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 116187-2401 (UT)

Record details

NPI number1114935301
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 3, 2006
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midway