Nathan C Clark, PTA
Physical Therapy Assistant in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1366097958
StatusActive
Last updated in NPPESAug 9, 2019
Details
- NPI
- 1366097958
- Entity type
- Individual (NPI-1)
- Name
- Nathan C Clark
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2019
- Last updated
- Aug 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | pta.0014668 | CO | Yes |
Practice location
4617 Austin Bluffs PkwyColorado Springs, CO 80918-2937
Phone 719-266-6431
Mailing address
4617 Austin Bluffs PkwyColorado Springs, CO 80918-2937
Phone 719-266-6431
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All 217 Physical Therapy Assistant providers in Colorado Springs · All 25,904 providers in Colorado Springs
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