Kelly L Clark, PTA
Physical Therapy Assistant in Conway, AR. Individual provider (NPI-1).
NPI number1053417907
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1053417907
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly L Clark
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2010 | AR | Yes |
Other names
- Kelly L Wood (Former Name)
Practice location
1500 Museum Rd Ste 104Conway, AR 72032-4761
Phone 501-329-3804 · Fax 501-329-0718
Mailing address
1500 Museum Rd Ste 104Conway, AR 72032-4761
Phone 501-329-3804 · Fax 501-329-0718
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Conway, AR
- Marvin Richard Boyce, PTANPI 1033784749
- Carolyn Sue Bridges, PTANPI 1770604761
- Emmett Don Clark, PTANPI 1154428456
- Linda Michelle Cullum, PTANPI 1750487500
- Christopher Brown Curtis, PTANPI 1902948276
- Raymond Leon Davis, PTANPI 1346804762
- Brandi Gaspard, PTANPI 1417520503
- Elizabeth HollowayNPI 1588344147
- Ladonya McBryde, PTANPI 1619898145
- Janet Carol Nokes, PTANPI 1487753539
All 17 Physical Therapy Assistant providers in Conway · All 3,490 providers in Conway
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.