| Zachary Clark, | |
|
291 N Hubbards Ln Ste 195, Louisville, KY 40207-8227 | |
| (502) 632-4003 | |
| (502) 632-4004 |
| Full Name | Zachary Clark |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 291 N Hubbards Ln Ste 195, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174259535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 008665 (Kentucky) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130723000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Clark, Po Box 306393, Nashville, TN 37230-6393 Ph: () - | Zachary Clark, 291 N Hubbards Ln Ste 195, Louisville, KY 40207-8227 Ph: (502) 632-4003 |
Seniors Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Lake Forest Parkway, Louisville, KY 40245 Phone: 502-263-9929 Fax: 502-614-8732 | |
Alyssa Seger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222 Phone: 502-412-5847 | |
Dr. Darlene Rose Orangias, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222 Phone: 502-412-5847 | |
Andrew Morgan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9880 Angies Way Ste 100, Louisville, KY 40241 Phone: 502-339-6490 | |
Christian Rae North, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4420 Dixie Hwy, Suite 122, Louisville, KY 40216 Phone: 502-447-2750 | |
Courtney M Nauert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13151 Magisterial Dr Ste 200, Louisville, KY 40223 Phone: 502-587-1236 | |
Alexis Rae Walsh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000 |