MR. CHAD CLARK, MSPT
Physical Therapist
Active
Individual
NPI: 1083617906
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 5835 (CO) |
Frequently Asked Questions
NPI 1083617906 is the National Provider Identifier for MR. CHAD CLARK, MSPT, a Physical Therapist provider located in Pueblo, CO. This NPI was enumerated on May 24, 2005.
MR. CHAD CLARK, MSPT practices at 58 GLENROYAL DR, Pueblo, CO 81005.
Quick Facts
- NPI
- 1083617906
- Type
- Individual
- Enumerated
- May 24, 2005
- Last Updated
- Sep 1, 2011
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