Clark, Kristi M

Clark, Kristi M is an individual health care provider with primary practice located at 4045 W Royal Dr , Traverse City MI 49684-8965. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Clark, Kristi M can be contacted via phone (231) 935-0900.

Contact Information

Primary practice address
4045 W Royal Dr Traverse City MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1235153032
LBN Legal business name Clark, Kristi M
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 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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