SHELLEY CLARK

MISSOULA, MT
NPI1003196718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MT  2157)
Additional Taxonomies225100000X Physical Therapist
(Licence: ID  2759)
225100000X Physical Therapist
(Licence: SD  1544)
Enumeration Date2011-08-25
Last Update Date2011-08-25
Business Address
-- SHELLEY CLARK DPT
2803 ROCKRIDGE CT APT 5
MISSOULA, MT 59808-9048
Phone number: 605-661-0879
Mailing Address
-- SHELLEY CLARK DPT
2803 ROCKRIDGE CT APT 5
MISSOULA, MT 59808-9048
Phone number: 605-661-0879