Clark Physical Therapy & Bodywork, Plc

LBN: Clark Physical Therapy & Bodywork, Plc
Clark Physical Therapy & Bodywork, Plc is an health care organization with primary practice located at 614 Monkton Rd , Bristol VT 05443-5392. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Clark Physical Therapy & Bodywork, Plc can be contacted via phone (802) 349-1808, or through Clark, Kimberly Anne via phone (802) 349-1808.

Contact Information

Primary practice address
614 Monkton Rd Bristol VT 05443-5392
Fax: (802) 453-2988
Website:
Authorized official contact:
Name: Clark, Kimberly Anne Physical Therapist (PT)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1093345811
LBN Legal business name Clark Physical Therapy & Bodywork, Plc
DBA Doing business as
Authorized official Clark, Kimberly Anne Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2020
Last updated Jan 21st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093345811 NPPES
Vermont MEDICAID 6702477

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