IndividualActive
Shamara Clark
NPI 1689218406 · Recreation Therapist · Phoenix, AZ
Provider details
- NPI number
- 1689218406
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1701 E Colter St Unit 477
Phoenix, AZ 85016-3392
Phone: (812) 320-9812
Approximate (ZIP-level) locationGet directions
Mailing address
1701 E Colter St Unit 477
Phoenix, AZ 85016-3392
Registry dates
- Enumerated
- 2019-11-05
- Last updated
- 2019-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.