Individual provider · Type 1 NPI

Timothy Albert Clark, LMT

Massage Therapist · Louisville, KY

NPI number 1013233477 Active

Practice location

2010 Bonnycastle Ave Apt 1F
Louisville, KY 40205-1118

Call (502) 459-1557 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XKY-2716 (KY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1013233477

Timothy Albert Clark, LMT's National Provider Identifier is 1013233477, issued on Apr 10, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Louisville, KY. The record was last updated on Apr 10, 2010.