NPI
Tanya L Clark
NPI 1639653686
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MSR:PT
- Type
- Individual
- Enumeration date
- 2018-09-15
- Last updated
- 2018-09-15
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Specialties
Licenses
- License VA
- 2305204747
Location
- Practice location
- 208 Health Care Drive
- City
- Pennington Gap VA
- Postal code
- 24277
- Phone
- (276) 546-4566
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. Confirm on OIG's online search.
Nearby
Other NPIs in Pennington Gap, VA. 125 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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