Clark, Alisha Shavon

Clark, Alisha Shavon is an sole proprietor health care provider with primary practice located at 4740 Highway 51 N Bldg 17, Apt. 208, Southaven MS 38671-7940. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Clark, Alisha Shavon can be contacted via phone (901) 238-1624.

Contact Information

Primary practice address
4740 Highway 51 N Bldg 17, Apt. 208 Southaven MS 38671-7940
Phone: (901) 238-1624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4135 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT4135 Mississippi

Profile Details

NPI number 1942637012
LBN Legal business name Clark, Alisha Shavon
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2013
Last updated Oct 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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