Dr. Michael Thomas Clark, PT, DPT
Physical Therapist in Spokane, WA. Individual provider (NPI-1).
NPI number1124680368
StatusActive
Last updated in NPPESDec 2, 2020
Details
- NPI
- 1124680368
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Thomas Clark
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Certification date
- Dec 2, 2020
- Last updated
- Dec 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT60932081 | WA | Yes |
Practice location
9310 N Division StSpokane, WA 99218-1227
Phone 509-789-2836
Mailing address
9310 N Division StSpokane, WA 99218-1227
Phone 509-789-2836
Other practice locations
2532 W Francis Ave
Spokane, WA 99205-7012
Spokane, WA 99205-7012
Phone 509-465-4799
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