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NPI Code Detail

MEDICARE: TRUDY CLARKE PT

MEDICARE: TRUDY CLARKE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251G0304XGeriatric Physical Therapist225MT

General Provider Information

NPI Number : 1396049136
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRUDY CLARKE PT
Provider Business Mailing Address
First Line : 100 PINTLAR LN
Second Line :
City : BUTTE
State : MT
Zip : 59701-4324
Country : US
Telephone Number : 406-494-8120
Fax Number :
Provider Business Practice Location Address
First Line : 3131 AMHERST AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-4653
Country : US
Telephone Number : 406-494-7035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2011
Last Update Date : 12/18/2025

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Directions to “ TRUDY CLARKE PT” Practice Location

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