SearchGeorgia2255A2300X

Crystal Clark, MS, ATC

NPI 1467829911 · on the registry since 2015

Practice

Address
1500 Manley St
Dalton High School
Dalton, GA 30720
Phone
(734) 395-9716

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-31

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 Georgia