# BAILEY CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760980726
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | CP039534T | MD | Yes |
| 225100000X | Physical Therapist | PT004513 | WV | — |
| 225100000X | Physical Therapist | PTH11158 | AL | — |
| 2255A2300X | Athletic Trainer | — | NULL | — |

## Other

- **Enumeration date:** 01/24/2018
- **Last updated:** 01/27/2025
