Clark, Kelly Ann

Clark, Kelly Ann is an sole proprietor health care provider with primary practice located at 2620 N Walnut St Suite 600, Bloomington IN 47404-2008. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Clark, Kelly Ann can be contacted via phone (812) 558-0708.

Contact Information

Primary practice address
2620 N Walnut St Suite 600 Bloomington IN 47404-2008
Phone: (812) 558-0708
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT21304740 Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05013530A Indiana

Profile Details

NPI number 1528614153
LBN Legal business name Clark, Kelly Ann
Credentials DPT, PT, MT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2019
Last updated Aug 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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