MR. Russell Lionel Clarke, P.T., C.H.T.

NPI #1396894267 in West Jordan, Utah

Provider Information

NPI Number: 1396894267
Entity Type: Individual
Name: MR. Russell Lionel Clarke, P.T., C.H.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T., C.H.T.
Enumeration Date: Jan 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1577 W 7000 S
Address 2: 100
City: West Jordan
State: Utah
ZIP Code: 84084-7492
Phone: (801) 566-6301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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