Most Relevant Information
Provider Data
| NPI Number: | 1003297706 |
| Provider Name: | ADAM CLARK PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 10386 |
Most Important Dates
| Enumeration Date: | 06/18/2015 |
| Last Updated: | 06/18/2015 |
Provider Practice Location
6070 S 1ST ST STE D
MILAN
TN
383583186
Practice Location Phone/Fax
| Phone: | 7316132214 |
| Fax: | 7316132215 |
Provider Mailing Location
6070 S 1ST ST STE D
P.O. BOX 1004
MILAN
TN
383583186
Provider Mailing Phone/Fax
| Phone: | 7316132214 |
| Fax: | 7316132215 |