Individual
JOEL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6264 LEWIS DR STE 100, PARKVILLE, MO 64152-3603
(816) 587-8001
Mailing address
6264 LEWIS DR STE 102, PARKVILLE, MO 64152-3603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024031436
MO
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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