Mindy Lee Clark, PTA
Physical Therapy Assistant in Paragould, AR. Individual provider (NPI-1).
NPI number1497329965
StatusActive
Last updated in NPPESMay 18, 2021
Details
- NPI
- 1497329965
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mindy Lee Clark
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2021
- Certification date
- May 18, 2021
- Last updated
- May 18, 2021
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 | 4514 | AR | Yes |
Practice location
900 W KingshighwayParagould, AR 72450-5942
Phone 870-239-7188
Mailing address
1000 W KingshighwayParagould, AR 72450-4141
Phone 870-239-7188
Other practice locations
1000 W Kingshighway
Paragould, AR 72450-4141
Paragould, AR 72450-4141
Phone 870-239-7188
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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 Paragould, AR
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- Tammy Lynn Clark, PTANPI 1548086838
- Lexi ClaytonNPI 1902322670
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- Jordan Elizabeth Coleman, PTANPI 1255934303
All 36 Physical Therapy Assistant providers in Paragould · All 1,666 providers in Paragould
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