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

Stephen Clark

Individual provider Physical Therapy Assistant · NPI 1689387805

Stephen Clark is a Physical Therapy Assistant in Los Lunas, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2023

Practice location Address checks out

1400 Main St NW Ste 1&2
Los Lunas, NM 87031-4812
Phone: (505) 865-4368
Show map & directions

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

Additional practice locations (1)

  • 2401 Cabezon Blvd Se Ste 102, Rio Rancho, NM 87124-1513 — (505) 994-2599

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1502 (NM)

Record details

NPI number1689387805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023
Mailing address2401 Cabezon Blvd Se Ste 102, Rio Rancho, NM 87124-1513

Other providers in Los Lunas