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IndividualActive

Krista Jean Clark

P.T.

Physical Therapist

NPI: 1114935301Midway, Utah, 84049(435) 657-0123Female

About Krista Jean Clark

Krista Jean Clark, P.T., is a female healthcare professional specializing in Physical Therapist, registered under National Provider Identifier (NPI) number 1114935301. Krista Jean Clark received her medical education at OTHER, graduating in 1984.

Their primary practice is located at 210 E MAIN ST STE 111, Midway, Utah 84049. Patients can reach the office at (435) 657-0123. Krista Jean Clark has been NPI-registered since 2006.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1114935301
Entity Type
Individual
First Name
Krista
Last Name
Clark
Credential
P.T.
Gender
Female
Medical School
OTHER
Graduation Year
1984
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
210 E MAIN ST STE 111
City
Midway
State
Utah
ZIP
84049-6828
Country
United States
Phone
(435) 657-0123
Fax
(435) 657-0330

Specialty & Taxonomy

Primary Specialty
Physical Therapist
Classification
Physical Therapist
Taxonomy Code
225100000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
210 E MAIN ST STE 111
City
MIDWAY
State
UT
ZIP
840496828

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Krista Jean Clark's NPI number?
Krista Jean Clark's National Provider Identifier (NPI) is 1114935301. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Krista Jean Clark specialize in?
Krista Jean Clark specializes in Physical Therapist. They received their medical education at OTHER (class of 1984).
Where is Krista Jean Clark located?
Krista Jean Clark practices at 210 E MAIN ST STE 111, Midway, Utah 84049. You can reach them by phone at (435) 657-0123.
Does Krista Jean Clark accept Medicare?
Based on available data, Krista Jean Clark is not currently enrolled in the Medicare program.
Does Krista Jean Clark offer telehealth or virtual visits?
Krista Jean Clark does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Krista Jean Clark is 1114935301.