Clark Home and Health Services PLC

Organization Active NPI Physical Therapist · Dewitt, MI

NPI 1760160907 · NPPES record last updated Jul 7, 2023

Key facts

NPI
1760160907
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
CLARK HOME AND HEALTH SERVICES PLC
Practice address
1302 Sandhill Dr
Dewitt, MI 48820-9550
Phone
(517) 242-4042
Fax
(517) 237-6089
NPI assigned
Jul 7, 2023
Organization subpart
No

Authorized official

Name
Jonathan Tennyson Clark Wismer, DPT, PT
Title
Physical Therapist
Phone
(517) 242-0425

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

1302 Sandhill Dr
Dewitt, MI 48820-9550

Mailing address

1302 Sandhill Dr
Dewitt, MI 48820-9550
Phone (517) 242-4042

Other providers in Dewitt, MI

All providers in Dewitt, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.