CRYSTAL NICHOLS CLARK LPTA
NPI 1104155480
Physical Therapy Assistant in Rustburg, VA
About Crystal Nichols Clark Lpta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL NICHOLS CLARK LPTA (NPI 1104155480) is an individual physical therapy assistant in Rustburg, Virginia, licensed in Virginia (2306001767) and active in the NPI registry since December 2009.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Crystal Clark's NPI number?
The NPI number for Crystal Clark is 1104155480. It was assigned to this individual provider in the NPPES registry on December 15, 2009.
Where is Crystal Clark located?
Crystal Clark practices at 4968 Bethany Rd, Rustburg, VA 24588. The listed phone number is (434) 845-3554.
What is Crystal Clark's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Crystal Clark was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.