IndividualActive
Michelle Clark
NPI 1063914109 · Pediatric Physical Therapist · Omaha, NE
Provider details
- NPI number
- 1063914109
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3652 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
17809 Pierce Plz
Omaha, NE 68130-1035
Phone: (402) 955-8355
Fax: (402) 955-8356
Approximate (ZIP-level) locationGet directions
Mailing address
8200 Dodge St
Omaha, NE 68114-4113
Registry dates
- Enumerated
- 2018-03-05
- Last updated
- 2018-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.