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IndividualActive

Mr. Dallas Layne Clark

P.T.

Physical Therapist

NPI: 1972693497Diamondville, Wyoming, 83116(307) 877-1000Male

About Mr. Dallas Layne Clark

Mr. Dallas Layne Clark, P.T., is a male healthcare professional specializing in Physical Therapist, registered under National Provider Identifier (NPI) number 1972693497. Mr. Dallas Layne Clark received his medical education at OTHER, graduating in 1987.

Their primary practice is located at 20 ADAVILLE DRIVE, Diamondville, Wyoming 83116. Patients can reach the office at (307) 877-1000. Mr. Dallas Layne Clark has been NPI-registered since 2006.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1972693497
Entity Type
Individual
First Name
Dallas
Last Name
Clark
Credential
P.T.
Gender
Male
Medical School
OTHER
Graduation Year
1987
Sole Proprietor
No
Status
active

Primary Practice Location

Address
20 ADAVILLE DRIVE
City
Diamondville
State
Wyoming
ZIP
83116
Country
United States
Phone
(307) 877-1000
Fax
(307) 877-1000

Specialty & Taxonomy

Primary Specialty
Physical Therapist
Classification
Physical Therapist
Taxonomy Code
225100000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 152
City
LAKETOWN
State
UT
ZIP
840380152

Medicare Enrollment

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

Frequently Asked Questions

What is Mr. Dallas Layne Clark's NPI number?
Mr. Dallas Layne Clark's National Provider Identifier (NPI) is 1972693497. 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 Mr. Dallas Layne Clark specialize in?
Mr. Dallas Layne Clark specializes in Physical Therapist. They received their medical education at OTHER (class of 1987).
Where is Mr. Dallas Layne Clark located?
Mr. Dallas Layne Clark practices at 20 ADAVILLE DRIVE, Diamondville, Wyoming 83116. You can reach them by phone at (307) 877-1000.
Does Mr. Dallas Layne Clark accept Medicare?
Based on available data, Mr. Dallas Layne Clark is not currently enrolled in the Medicare program.
Does Mr. Dallas Layne Clark offer telehealth or virtual visits?
Mr. Dallas Layne 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 Mr. Dallas Layne Clark is 1972693497.