NPI 1003196718

Shelley Clark, DPT

Practitioner Physical Therapist Missoula, MT

Practice location

Address: 2803 Rockridge CT APT 5, Missoula, MT 59808-9048
Phone: (605) 661-0879

Registered specialties (3)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2157 (MT)

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2759 (ID)

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1544 (SD)

Registry record

NPI: 1003196718
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2011
Record last updated: 25 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.