Individual
TYLER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2100 SWIFT AVE, NORTH KANSAS CITY, MO 64116-3426
(816) 474-8877
(816) 474-8878
Mailing address
2100 SWIFT AVE, NORTH KANSAS CITY, MO 64116-3426
(816) 474-8877
(816) 474-8878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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