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

Michelle B Clark

Individual provider Pediatric Physical Therapist · NPI 1063914109

Michelle B Clark is a Pediatric Physical Therapist in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2018.

Licensed in
NE
In the registry since
2018

Practice location Address checks out

17809 Pierce Plz
Omaha, NE 68130-1035
Phone: (402) 955-8355
Fax: (402) 955-8356
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 3652 (NE)

Record details

NPI number1063914109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2018
Last updated in NPPESMarch 5, 2018
Mailing address8200 Dodge St, Omaha, NE 68114-4113

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