Provider Demographics
NPI:1730066747
Name:CLARKIN, ALEXANDRA RUTH (PT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:RUTH
Last Name:CLARKIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:
Other - Last Name:CLARKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:3130 N HALL ST APT 306
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-1201
Mailing Address - Country:US
Mailing Address - Phone:830-522-0339
Mailing Address - Fax:
Practice Address - Street 1:4825 ALLIANCE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5579
Practice Address - Country:US
Practice Address - Phone:469-367-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1407166225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist