Mr. Dallas Layne Clark, PT
Mr. Dallas Layne Clark, PT is registered under Physical Therapist in Private Practice in Diamondville, Wyoming. Qualified in 1987, 39 years ago. Accepts Medicare assignment. Licensed in Utah and Wyoming.
- Years since qualifying
- 39
- Licensed in
- UT, WY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
20 Adaville Dr Ste 10Diamondville, WY 83116 Not confirmed with CMS for 19 years — call before visiting
Phone: (307) 877-1000
Fax: (307) 877-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 802 (WY) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 6293691-2401 (UT) |
Record details
| NPI number | 1972693497 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | October 13, 2006 |
| Last updated in NPPES | July 9, 2007 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1987 (39 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Diamondville
-
Pro Physical Therapy LLC
20 Adaville Dr Ste 10, Diamondville, WY 83116 · (307) 877-1000