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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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