Alisha Shavon Clark, PT in Southaven, MS

Alisha Shavon Clark, PT is a Physical Therapist based in Southaven, Mississippi. Alisha Shavon Clark is licensed to practice in Mississippi (license number PT4135) and her current practice location is 4740 Highway 51 N, Bldg 17, Apt. 208, Southaven, Mississippi. She can be reached at her office (for appointments etc.) via phone at (901) 238-1624.

NPI number for Alisha Shavon Clark is 1942637012 and her current mailing address is 4740 Highway 51 N, Bldg 17, Apt. 208, Southaven, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942637012.

Contact Information

	Alisha Shavon Clark, PT
	4740 Highway 51 N, Bldg 17, Apt. 208, Southaven, MS 38671-7940
	(901) 238-1624
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alisha Shavon Clark
Gender	Female
Speciality	Physical Therapist
Location	4740 Highway 51 N, Southaven, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1942637012
Provider Enumeration Date: 10/03/2013
Last Update Date: 10/03/2013

Medical Identifiers

Medical identifiers for Alisha Shavon Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942637012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4135 (Mississippi)	Primary
2251P0200X	Physical Therapist - Pediatrics	PT4135 (Mississippi)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alisha Shavon Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alisha Shavon Clark, PT 4740 Highway 51 N, Bldg 17, Apt. 208, Southaven, MS 38671-7940 Ph: (901) 238-1624	Alisha Shavon Clark, PT 4740 Highway 51 N, Bldg 17, Apt. 208, Southaven, MS 38671-7940 Ph: (901) 238-1624

Reviews and Comments

Physical Therapist in Southaven, MS

Parker P Haberstroh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029
Michael Newton Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672 Phone: 662-890-6953
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208
Lacey Moody, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954
Mrs. Jennifer Dixon Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 Fax: 901-759-3216

Alisha Shavon Clark, PT - Physical Therapist in Southaven, MS