Individual
CLARK D HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
343 WELLSIAN WAY, RICHLAND, WA 99352-4116
(509) 946-9191
(509) 946-8247
Mailing address
7201 W CLEARWATER AVE, SUITE B101, KENNEWICK, WA 99336-1694
(509) 544-0265
(509) 987-1614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195235
LABOR & INDUSTRIES
WA
05
—
8335150
—
WA
Enumeration date
12/14/2006
Last updated
08/19/2014
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