Dusty Clark PTA

  • NPI 1306344163
According to our database, the NPI number for Dusty Clark PTA is 1306344163 and activated since 6 years ago. Dusty Clark PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 5333 N Port Washington Rd Ste B, Glendale, WI 53217. You can also contact Dusty Clark PTA via telephone number is (414) 716-1770. Provider NPI information was last updated on 07/21/2021.

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Overview of Dusty Clark PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/26/2018
  • Last updated: 07/21/2021

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 1880-19
  • License State: WI

Provider Mailing Address

  • Address: 33900 Harper Ave Ste 104
    Clinton Twp, MI 48035
  • Phone: 586-350-2644
  • Fax:

Provider Practice Location

  • Address: 5333 N Port Washington Rd Ste B
    Glendale, WI 53217
  • Phone: 414-716-1770
  • Fax:

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 1880-19
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dusty Clark PTA?
  • A: The npi number for Dusty Clark PTA is 1306344163.
  • Q: What are Dusty Clark PTA's specialties?
  • A: Dusty Clark PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Dusty Clark PTA?
  • A: The medical license number for Dusty Clark PTA is 1880-19 and issued in WI in USA.
  • Q: Where is Dusty Clark PTA practice location?
  • A: Dusty Clark PTA is practicing at 5333 N Port Washington Rd Ste B, Glendale, WI 53217.
  • Q: How to contact Dusty Clark PTA?
  • A: You can contact Dusty Clark PTA via 414-716-1770.