National Provider Identifier
Jamie Albert Clark, PT
Jamie Albert Clark, PT is listed in the NPPES registry with a primary specialty of Sports Physical Therapist in Webster, NY and a listed phone number of (585) 267-9547.
Profile Overview
- NPI
- 1265962617
- Provider Type
- Individual
- Primary Specialty
- Sports Physical Therapist
- Enumeration Date
- June 19, 2017
- Last Updated
- July 21, 2022
Practice Location
- 2115 Empire Blvd
- Webster, NY 14580-1907
Phone: (585) 267-9547
Mailing Address
- 68 Princeton Ln
- Fairport, NY 14450-9027
Specialties
- Sports Physical Therapist (2251S0007X)
Full Record
- NPI
- 1265962617
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Jamie
- Middle Name
- Albert
- Credential
- PT
- Mailing Street Address
- 68 Princeton Ln
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9027
- Mailing Country
- US
- Mailing Phone
- (585) 267-9547
- Practice Street Address
- 2115 Empire Blvd
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-1907
- Practice Country
- US
- Practice Phone
- (585) 267-9547
- Enumeration Date
- June 19, 2017
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Physical Therapist (2251S0007X)