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Keith Clark, PTA

NPI 1346739737 · on the registry since 2018

Practice

Address
406 S Main St
Winnsboro, TX 75494
Phone
(903) 342-6790
Fax
(903) 342-6796
Clinicians at this address
71

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
225200000X
225200000X
225200000X
Licence states on file
MD, NH, TX, VT, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-12

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 Texas