SearchMissouriPhysical Therapy Assistant

Conie Clark

NPI 1164098083 · on the registry since 2021 · sole proprietor

Practice

Address
111 East St
Clarence, MO 63437
Phone
(660) 699-2118
Organisation at this address
Clarence Nursing Home District
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri