KIRSTEN CLARK PT
NPI 1821159690
Specialist in Dearborn, MI

Q: What is Kirsten Clark's NPI number?

The NPI number for Kirsten Clark is 1821159690. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Kirsten Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kirsten Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 13, 2006

20031 CARLYSLE ST, SUITE 3, DEARBORN, MI 48124(313) 277-9170(313) 277-9176 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kirsten Clark Pt NPPES

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

KIRSTEN CLARK PT (NPI 1821159690) is an individual specialist in Dearborn, Michigan, licensed in Michigan (5501004619) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1821159690

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKIRSTEN CLARKCredential: PT

Location Address20031 CARLYSLE ST, SUITE 3Dearborn, MI 48124-3803

Mailing Address4204 Martin Rd, Suite ACommerce Township, MI 48390-4135 · (248) 366-9170 · Fax (248) 366-9176

Phone(313) 277-9170

Fax(313) 277-9176

Sole ProprietorNo

Enumeration DateDecember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821159690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MI · 5501004619

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

20031 CARLYSLE ST, Dearborn, MI 48124

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Other Identifiers 1

Medicare ID-Type UnspecifiedN84780003MI

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 Kirsten Clark's NPI number?

The NPI number for Kirsten Clark is 1821159690. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Kirsten Clark located?

Kirsten Clark practices at 20031 Carlysle St Suite 3, Dearborn, MI 48124. The listed phone number is (313) 277-9170.

What is Kirsten Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kirsten Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.