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Search › Indiana › 225100000X

Kelly Clark, DPT, PT, MT

NPI 1528614153 · on the registry since 2019 · sole proprietor

Practice

Address
2620 N Walnut St
Suite 600
Bloomington, IN 47404
Phone
(812) 558-0708
Organisation at this address
Daniel R Berg Md Pc
Sc Dawson Consulting
Legacycare Home Health, Llc
Mindi Wisker-Tindall Counseling Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225700000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-09

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 Indiana