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

Mr. Michael D Clark, PT

Individual provider Physical Therapist · NPI 1982818811

Mr. Michael D Clark, PT is a Physical Therapist in Wagoner, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
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

1200 W Cherokee St
Wagoner, OK 74467-4624
Phone: (918) 485-1323
Fax: (918) 485-9486
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2492 (OK)

Record details

NPI number1982818811
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address606 E Willow Dr, Wagoner, OK 74467-1618

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