Clark, Timothy Ross
Clark, Timothy Ross is an sole proprietor health care provider with primary practice located at 201 10Th Ave N , Twin Falls ID 83301-6372. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Clark, Timothy Ross can be contacted via phone (208) 734-4264.Contact Information
Primary practice address
201 10Th Ave N
Twin Falls ID 83301-6372
Phone: (208) 734-4264
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA168 | Idaho |
Profile Details
| NPI number | 1154665446 |
|---|---|
| LBN Legal business name | Clark, Timothy Ross |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2012 |
| Last updated | Nov 27th, 2012 - about 14 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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