IndividualActive
Elaine Clark, MPT
NPI 1295825511 · Pediatric Physical Therapist · Issaquah, WA
Provider details
- NPI number
- 1295825511
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT00000762 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
710 Nw Juniper St
Issaquah, WA 98027-2717
Phone: (425) 392-7989
Approximate (ZIP-level) locationGet directions
Mailing address
2415 E Mcgraw St
Seattle, WA 98112-2633
Registry dates
- Enumerated
- 2006-10-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.