Individual
ANNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1900 W 75TH ST LOWR 10, PRAIRIE VILLAGE, KS 66208-3522
(913) 432-3950
Mailing address
8211 E 135TH ST, GRANDVIEW, MO 64030-3536
(979) 450-6388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025028426
MO
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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