| Doctor Name: | BECKY ANN CLARK |
| NPI Number: | 1225098411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S., P.T. |
| License Number: | PT00000849 |
| Business Practice Address: | 12012 E Mission Ave Spokane Valley, WA - 992064887 |
| Business Phone Number: | 5094131630 |
| Business Fax Number: | 5094131673 |
| Mailing Address: | 21525 N Little Spokane Dr, COLBERT |
| State: | WA |
| Postal Code: | 990059478 |
| Phone Number: | 5094661850 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 04/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00000849 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |