Search › Wyoming › 225100000X
Dallas Clark, P.T
NPI 1972693497 · on the registry since 2006
Practice
- Address
- 20 Adaville Drive
Suite 10
Diamondville, WY 83116 - Phone
- (307) 877-1000
- Fax
- (307) 877-1000
- Organisation at this address
- Pro Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- UT, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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 Wyoming