IndividualActive
Andrea Clemmer, PTA
NPI 1972058196 · Physical Therapy Assistant · Sapulpa, OK
Provider details
- NPI number
- 1972058196
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2499 (OK)
Mailing address
11649 S 252nd West Ave
Sapulpa, OK 74066-7980
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2016-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.