# MRS. AMY SUE CLARK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851538334
- **Gender:** F
- **Credential:** PT.DPT, CMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 06952 | OR | Yes |
| 225100000X | Physical Therapist | 1179646 | TX | — |
| 225100000X | Physical Therapist | 1964 | AK | — |
| 225100000X | Physical Therapist | 2305205786 | VA | — |
| 225100000X | Physical Therapist | 62 028723 | NY | — |
| 225100000X | Physical Therapist | — | NULL | — |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 11/27/2013