IndividualActive
Alisha Clark, PT
NPI 1942637012 · Physical Therapist · Southaven, MS
Provider details
- NPI number
- 1942637012
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT4135 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4740 Highway 51 N
Bldg 17, Apt. 208
Southaven, MS 38671-7940
Phone: (901) 238-1624
Approximate (ZIP-level) locationGet directions
Mailing address
4740 Highway 51 N
Southaven, MS 38671-7940
Registry dates
- Enumerated
- 2013-10-03
- Last updated
- 2013-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.