SearchArizona2255A2300X

Clark Shirley, AT, ATC

NPI 1386054468 · on the registry since 2014 · sole proprietor

Practice

Address
7311 E Southern Ave Apt 2034
Mesa, AZ 85209
Phone
(413) 348-3145
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-29

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 Arizona