Mrs. Marissa Everly Clark
Physical Therapist - Neurology
3115 W 6th St Ste B
Lawrence
, Kansas 66049-3150
Mrs. Marissa Everly Clark
Physical Therapist - Neurology
3115 W 6th St Ste B
Lawrence
, Kansas 66049-3150
(785) 856-7392
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Mrs. Marissa Everly Clark
- 3115 W 6th St Ste B
- Lawrence, KS
- Zip : 66049-3150
- Fax : (785) 856-7392
- Phone : (785) 856-3220
Second Address
- Mrs. Marissa Everly Clark
- 3115 W 6th St Ste B
- Lawrence, KS
- Zip : 66049-3150
- Fax : (785) 856-7392
- Phone : (785) 856-3220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 11-03438 | KS |
National Provider Identifier
| NPI | 1326271644 |
|---|---|
| Provider Name | Mrs. Marissa Everly Clark |
| First Address | Lawrence, KS 66049-3150 |
| Second Address | Lawrence, KS 66049-3150 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2009 |
| Last Update Date | 02/09/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.