Search › Michigan › 225100000X
Gavin Clark, PT
NPI 1952271975 · on the registry since 2025
Practice
- Address
- 13060 S Us Highway 27 Ste C4
Dewitt, MI 48820 - Phone
- (517) 668-6561
- Fax
- (517) 306-2372
- Organisation at this address
- Jdr74 Holdings, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-05
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 Michigan