IndividualActive
Michael Clark, P.T.
NPI 1336147289 · Orthopedic Physical Therapist · Fairhope, AL
Provider details
- NPI number
- 1336147289
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- PTH2465 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
341 Greeno Road
Fairhope, AL 36532
Phone: (251) 928-2401
Fax: (251) 928-5099
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1186
Fairhope, AL 36533-1186
Registry dates
- Enumerated
- 2005-07-13
- Last updated
- 2009-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.