CLARK O VANDEGRAFT PTA
NPI 1215493358
Physical Therapy Assistant in Peoria, IL
About Clark O Vandegraft Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK O VANDEGRAFT PTA (NPI 1215493358) is an individual physical therapy assistant in Peoria, Illinois and active in the NPI registry since February 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clark Vandegraft's NPI number?
The NPI number for Clark Vandegraft is 1215493358. It was assigned to this individual provider in the NPPES registry on February 13, 2019.
Where is Clark Vandegraft located?
Clark Vandegraft practices at 3614 N Rochelle Ln, Peoria, IL 61604. The listed phone number is (309) 688-0350.
What is Clark Vandegraft'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 Clark Vandegraft was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.