VIRGIL LEE CLARK REHABILITATION PRAC - NPI 1356967848 - Rehabilitation Practitioner in Las Vegas, NV

Q: What is Virgil Clark's NPI number?

The NPI number for Virgil Clark is 1356967848. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Q: What is Virgil Clark's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Virgil Clark was last updated on June 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Virgil Lee Clark Rehabilitation Prac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRGIL LEE CLARK REHABILITATION PRAC (NPI 1356967848) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1356967848

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameVIRGIL LEE CLARKCredential: REHABILITATION PRAC

Location Address7473 W LAKE MEAD BLVD STE 205Las Vegas, NV 89128-0265

Mailing Address7473 W Lake Mead Blvd Ste 205Las Vegas, NV 89128-0265 · (702) 562-1288

Phone(702) 562-1288

Sole ProprietorYes

Enumeration DateJune 19, 2020

NPPES CertifiedJune 19, 2020

✔ NPI 1356967848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

7473 W LAKE MEAD BLVD STE 205, Las Vegas, NV 89128

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP