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
Phone: (802) 349-1808
Fax: (802) 453-2988
Website:
Authorized official contact:
Name: Clark, Kimberly Anne Physical Therapist (PT)
Phone: (802) 349-1808
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093345811 | NPPES |
Vermont | MEDICAID | 6702477 |
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