NPI 1497590509

Mark Clayton

Practitioner Physical Therapist Grovetown, GA

Practice location

Address: 4039 Gateway Blvd STE 102, Grovetown, GA 30813-3390
Phone: (706) 210-9534
Mailing address: 2122 York Rd STE 300, Oak Brook, IL 60523-1925

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT008685 (GA)

Other Physical Therapist providers in Georgia →

Registry record

NPI: 1497590509
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2024
Record last updated: 28 Jun 2024

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.