Individual
CONNOR REID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10511 19TH AVE SE STE B, EVERETT, WA 98208-4279
(425) 357-8885
Mailing address
2405 167TH PL SE, BOTHELL, WA 98012-8002
(425) 953-6326
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT.PT.70108290
WA
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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