| Joel Ellis Clark, PT | |
|
107 Rabbit Trl, Wilmore, KY 40390-1481 | |
| (859) 321-2741 | |
| Not Available |
| Full Name | Joel Ellis Clark |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 107 Rabbit Trl, Wilmore, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366617243 | NPI | - | NPPES |
| GP-224 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 005026 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Ellis Clark, PT 107 Rabbit Trl, Wilmore, KY 40390-1481 Ph: (859) 321-2741 | Joel Ellis Clark, PT 107 Rabbit Trl, Wilmore, KY 40390-1481 Ph: (859) 321-2741 |
Asbury University Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Macklem Dr, Wilmore, KY 40390 Phone: 859-858-3511 | |
Lhcg Lxxi, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 Lexington Rd, Wilmore, KY 40390 Phone: 859-397-0596 Fax: 859-795-5152 |