NPI 1003297706
Adam Clark, PTDPT
Practice location
- Address
- 6070 S 1st St STE D, Milan, TN 38358-3186
- Phone
- (731) 613-2214
- Fax
- (731) 613-2215
- Mailing address
- 6070 S 1st St STE D P.O. Box 1004, Milan, TN 38358-3186
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003297706
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jun 2015
- Record last updated
- 18 Jun 2015
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.