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Contact Information

THOMAS C CLARK, PT
7111 E 21ST ST N STE 103
WICHITA, KS67206
 Phone: 316-269-1311
 Fax: 316-269-1588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for THOMAS C CLARK · (Male)

NPI Number 1972649499
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 01/30/2007
Last updated 01/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 11-01967
Hospital affiliation(s) Not Available
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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