Individual
ASHLEY NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12755 S MUR LEN RD STE B1, OLATHE, KS 66062-6804
(913) 782-8729
(913) 782-7209
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06159
KS
225100000X
Physical Therapist
3984
NE
225100000X
Physical Therapist
Primary
5901
OK
Other
Enumeration date
07/08/2019
Last updated
05/21/2021
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