Clark, Shelby Layne
Clark, Shelby Layne is an individual health care provider with primary practice located at 11100 Highway 165 Ste 5 , North Little Rock AR 72117-9781. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Clark, Shelby Layne can be contacted via phone (501) 945-0200.Contact Information
Primary practice address
11100 Highway 165 Ste 5
North Little Rock AR 72117-9781
Phone: (501) 945-0200
Fax: (501) 945-0245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 1367761 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1367761 | Texas |
Profile Details
| NPI number | 1730808494 |
|---|---|
| LBN Legal business name | Clark, Shelby Layne |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2022 |
| Last updated | Feb 9th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730808494 | NPPES |
| Texas | Other | 1367761 | TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS |
| Texas | Other | PT5170 | TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS |
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