National Provider Identifier Database

ALEXA CLARK, OTD – NPI #1831758234
Hand


Contact Information

ALEXA CLARK, OTD
1807 W BROADWAY BLVD
SEDALIA, MO65301-2566
Phone: 660-826-2015
Fax:
Website:
Specialty Taxonomy Code
* Hand 225XH1200X
Occupational Therapist 225X00000X

* Indicates primary specialty

NPI Profile & details for ALEXA CLARK

NPI Number 1831758234
Credentials OTD
Entity Individual
Enumeration date 06/10/2019
Last updated 10/26/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • CO License #: 0005993
  • MO License #: 2022012872
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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