IndividualActive
Amanda Clark, DPT
NPI 1679011738 · Pediatric Physical Therapist · Coralville, IA
Provider details
- NPI number
- 1679011738
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 085170 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2451 Coral Ct Ste 1
Coralville, IA 52241-2837
Phone: (319) 853-0596
Approximate (ZIP-level) locationGet directions
Mailing address
2451 Coral Ct Ste 1
Coralville, IA 52241-2837
Registry dates
- Enumerated
- 2017-02-08
- Last updated
- 2017-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.