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Timothy Clark, PTA
NPI 1154665446 · on the registry since 2012 · sole proprietor
Practice
- Address
- 201 10th Ave N
Twin Falls, ID 83301 - Phone
- (208) 734-4264
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho