| Mr Michael D Clark, PT | |
|
1200 W Cherokee St, Wagoner, OK 74467-4624 | |
| (918) 485-1323 | |
| (918) 485-9486 |
| Full Name | Mr Michael D Clark |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1200 W Cherokee St, Wagoner, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982818811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2492 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael D Clark, PT 606 E Willow Dr, Wagoner, OK 74467-1618 Ph: (918) 485-8686 | Mr Michael D Clark, PT 1200 W Cherokee St, Wagoner, OK 74467-4624 Ph: (918) 485-1323 |
Rebecca Costello Shetlar, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 812-628-3060 | |
Jace Evan Sharp, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1200 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-1212 Fax: 918-485-1335 | |
Jennifer Rae Murr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-3100 Fax: 918-485-3126 | |
Bradley Edward Holland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-3100 Fax: 918-485-3126 |