- Practice location
- 254 Ethan Allen Hwy, New Haven, VT 05472-1045
- Phone
- 802-388-7259
- Fax
- —
- Last updated
- November 9, 2021
Mary-Katherine Clark is a Physical Therapist based in New Haven, VT. Mary-Katherine Clark practices in New Haven, VT. The NPI Number for Mary-Katherine Clark is 1487310934 and holds a License No. 040.0134346 (VT). The current practice location address for Mary-Katherine Clark is 254 Ethan Allen Hwy, New Haven, VT 05472-1045 and can be reached out via phone at 802-388-7259.
Provider Profile Details
- NPI Number
- 1487310934
- Provider Name
- Mary-Katherine Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 254 Ethan Allen Hwy, New Haven, VT 05472-1045
- Phone Number
- 802-388-7259
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 9, 2021
- Last Update Date
- November 9, 2021
- Certification Date
- November 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 254 Ethan Allen Hwy
New Haven, VT 05472-1045 - City
- New Haven
- State
- Vermont
- Zip
- 05472-1045
- Phone Number
- 802-388-7259
Provider Business Mailing Address Details
- Address
- Po Box 754
Middlebury, VT 05753-0754 - City
- Middlebury
- State
- VT
- Zip
- 05753-0754
License Information
- License Number
- 040.0134346
- License State
- VT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary-Katherine Clark?
The NPI number of Mary-Katherine Clark is 1487310934. It was assigned on November 9, 2021 and is currently active in the NPPES registry.
What is the specialty of Mary-Katherine Clark?
Mary-Katherine Clark is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VT under license number 040.0134346.
Where does Mary-Katherine Clark practice?
The practice location is 254 Ethan Allen Hwy, New Haven, VT 05472-1045. The office can be reached at 802-388-7259 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487310934 directly on the NPPES registry website.