Clark, Kaitlin T
Clark, Kaitlin T is an individual health care provider with primary practice located at 15410 S Mountain Pkwy Ste: 112, Phoenix AZ 85044-6691. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Clark, Kaitlin T can be contacted via phone (480) 706-1161.Contact Information
Primary practice address
15410 S Mountain Pkwy Ste: 112
Phoenix AZ 85044-6691
Phone: (480) 706-1161
Fax: (480) 706-7409
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9504 | Arizona |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X |
Profile Details
NPI number | 1750666426 |
---|---|
LBN Legal business name | Clark, Kaitlin T |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2011 |
Last updated | Nov 23rd, 2011 - about 13 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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