MRS. MARISSA EVERLY CLARK (NPI# 1326271644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326271644 |
Entity Type | Individual |
Full Name | MRS. MARISSA EVERLY CLARK |
Credential | MPT |
Practice Address |
3115 W 6th St Ste B Lawrence KS 66049-3150 |
Practice Telephone | 7858563220 |
Practice Fax Number | 7858567392 |
Mailing Telephone | 7858563220 |
Mailing Fax Number | 7858567392 |
Enumeration Date | 2009-09-02 |
Last Update Date | 2009-09-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
11-03438 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
1194387431 | Marissa Clark | Physician Assistant | 112 Mansfield Ave, Willimantic, CT 06226-2040 | 2019-07-08 |
Street Address |
3115 W 6TH ST STE B |
City | LAWRENCE |
State | KS |
Zip Code | 66049-3150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861494726 | Denise Mead | Physical Therapist | 3115 W 6th St Ste B, Lawrence, KS 66049-3150 | 2005-08-11 |
1538470802 | Julie Erin Harrington | Physical Therapy Assistant | 3115 W 6th St Ste B, Lawrence, KS 66049-3150 | 2010-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
1053840405 | Garrett Greaves | Physical Therapist | 100 Rock Chalk Lane, Suite 100, Lawrence, KS 66049 | 2017-06-08 |
1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
1992163273 | Katherine Kershner | Physical Therapy Assistant | 11311 Wakarusa Dr Ste 1000, Lawrence, KS 66049 | 2016-02-02 |
1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
1881975563 | Vicki Annette Condra-williams | Counselor | 1123 Stone Meadows Drive, Lawrence, KS 66049 | 2011-09-08 |
1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
1164739173 | Laura Elizabeth Reischman | Physical Therapy Assistant | 1305 Wakarusa Drive, Lawrence, KS 66049 | 2010-09-13 |
Find all providers in zip 66049 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669807426 | Darcie L James | Physical Therapist | 8550 Marshall Dr Ste 100, Lenexa, KS 66214-9836 | 2013-09-11 |
1972882280 | Jason Lee Rucker | Physical Therapist | 3901 Rainbow Blvd, Mail Stop 2002, Kansas City, KS 66103-2937 | 2011-08-04 |
1457589731 | Kelli L Hagen | Physical Therapist | 8550 Marshall Dr, Ste 100, Lenexa, KS 66214-1505 | 2009-06-25 |
1558558411 | Diana Christine Torline | Physical Therapist | 600 Medical Center Drive, Newton, KS 67114-0308 | 2007-09-25 |
1063604189 | Amy L Nichols | Physical Therapist | 8550 Marshall Dr, Suite 100, Lenexa, KS 66214-1505 | 2007-08-13 |
1962592741 | Balance & Neurological Rehabilitation | Physical Therapist | 12000 W 110th St, Suite 400, Overland Park, KS 66210-3938 | 2006-10-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.