Mr. Dallas Layne Clark, PT
Mr. Dallas Layne Clark, PT is a Physical Therapist in Private Practice in Diamondville, Wyoming. Qualified in 1987, 39 years ago. Accepts Medicare assignment. Licensed in Utah and Wyoming.
- Years since qualifying
- 39
- Licensed in
- UT, WY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
20 Adaville Dr Ste 10Diamondville, WY 83116
Phone: (307) 877-1000
Fax: (307) 877-1000
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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 802 (WY) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 6293691-2401 (UT) |
Record details
| NPI number | 1972693497 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | October 13, 2006 |
| Last updated in NPPES | July 9, 2007 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1987 (39 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Diamondville
-
Pro Physical Therapy LLC
20 Adaville Dr Ste 10, Diamondville, WY 83116 · (307) 877-1000