Search › Missouri › 2255A2300X
Erika Clark, ATC, LAT
NPI 1568807667 · on the registry since 2013 · sole proprietor
Practice
- Address
- 800 University Dr
Maryville, MO 64468 - Phone
- (660) 562-1313
- Organisation at this address
- Northwest Missouri State University
Northwest Missouri State UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-02
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