Individual
SHELBY LAYNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11100 HIGHWAY 165 STE 5, NORTH LITTLE ROCK, AR 72117-9781
(501) 945-0200
(501) 945-0245
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 309-2579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1367761
TX
2251P0200X
Pediatric Physical Therapist
1367761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1367761
TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
TX
01
—
PT5170
ARKANSAS DEPARTMENT OF HEALTH STATE BOARD OF PHYSICAL THERAPY
AR
Enumeration date
08/25/2022
Last updated
02/09/2024
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