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

Rachel Clark, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1891447165

Rachel Clark, PTA is a Physical Medicine & Rehabilitation Physician in Coon Rapids, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

11800 Xeon Blvd NW
Coon Rapids, MN 55448-2061
Phone: (763) 755-8400
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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 A2558 (MN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A2558 (MN)

Record details

NPI number1891447165
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

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