NPI
Michelle Clark
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- RTT Practitioner
- Type
- Individual
- Enumeration date
- 2025-02-26
- Last updated
- 2025-03-03
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 596 Silver Beach Dr
- City
- Jerome ID
- Postal code
- 83338-6416
- Phone
- (385) 279-1039
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Jerome, ID. 202 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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