Search › Illinois › 224Z00000X
Mickie Clark, COTA
NPI 1588579874 · on the registry since 2026
Practice
- Address
- 512 W Morgan St
Jacksonville, IL 62650 - Phone
- (618) 705-0451
- Fax
- (217) 248-8558
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-19
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 Illinois