JACK CLANTON III, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1194206524
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 2037349 (TX) |
Frequently Asked Questions
NPI 1194206524 is the National Provider Identifier for JACK CLANTON III, PTA, a Physical Therapy Assistant provider located in San Angelo, TX. This NPI was enumerated on August 23, 2018.
JACK CLANTON III, PTA practices at 5455 KNICKERBOCKER RD, San Angelo, TX 76904.
Quick Facts
- NPI
- 1194206524
- Type
- Individual
- Enumerated
- Aug 23, 2018
- Last Updated
- Aug 23, 2018
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