Individual
MRS. MARISSA EVERLY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3115 W 6TH ST STE B, LAWRENCE, KS 66049-3150
(785) 856-3220
(785) 856-7392
Mailing address
3115 W 6TH ST STE B, LAWRENCE, KS 66049-3150
(785) 856-3220
(785) 856-7392
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
11-03438
KS
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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