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Jessica I Clark, LPTA

Physical Therapy Assistant in Lexington, VA. Individual provider (NPI-1).

NPI number1104731389
StatusActive
Last updated in NPPESAug 14, 2026

Details

NPI
1104731389
Entity type
Individual (NPI-1)
Name
Jessica I Clark
Credential
LPTA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2026
Certification date
Aug 14, 2026
Last updated
Aug 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306605516VAYes

Practice location

160 Kendal Dr Apt 200
Lexington, VA 24450-1790

Phone 549-463-1910

Mailing address

Po Box 673
Troutville, VA 24175-0673

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Other Physical Therapy Assistant providers in Lexington, VA

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