Individual
COURTNEY SHAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3223 S LOOP 289, STE 101, LUBBOCK, TX 79423-1337
(806) 792-5522
(806) 785-7582
Mailing address
25 BRIERCROFT OFFICE PARK, LUBBOCK, TX 79412-3011
(806) 795-7433
(806) 795-7407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2070918
TX
Other
Enumeration date
07/28/2009
Last updated
10/14/2009
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