DUSTY CLARK PTA
NPI 1306344163
Physical Therapy Assistant in Glendale, WI
About Dusty Clark Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUSTY CLARK PTA (NPI 1306344163) is an individual physical therapy assistant in Glendale, Wisconsin, licensed in Wisconsin (1880-19) and active in the NPI registry since January 2018.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 8
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 Dusty Clark's NPI number?
The NPI number for Dusty Clark is 1306344163. It was assigned to this individual provider in the NPPES registry on January 26, 2018. The provider is also known as Dusty Burge.
Where is Dusty Clark located?
Dusty Clark practices at 5333 N Port Washington Rd Ste B, Glendale, WI 53217. The listed phone number is (414) 716-1770.
What is Dusty 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 Dusty Clark was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.