Madison Nicole Clark, OTR/L
Individual provider Active NPI Occupational Therapist · Calhoun, KY
NPI 1972200780 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1972200780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 360 Meadowlark Dr
Calhoun, KY 42327-9671 - Phone
- (270) 499-0663
- NPI assigned
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
360 Meadowlark Dr
Calhoun, KY 42327-9671
Mailing address
360 Meadowlark Dr
Calhoun, KY 42327-9671
Phone (270) 499-0663
Other providers in Calhoun, KY
- Baptist Health Madisonville Inc
- Andria L Brooks
- Johnah Brown
- Calhoun Pharmacy
- Whitney Marie Cecil
- Kelly Elizabeth Coursey
- Dr. John D Strange, PSC
- Philip David Embry
- Gray Counseling Services PLLC
- Annie Gray-Dalton
All providers in Calhoun, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.