Individual provider · Type 1 NPI

Martin L. Clark, LMT

Massage Therapist · Wilmington, NC

NPI number 1013600022 Active

Practice location

120 N Cardinal Extension Dr Ste 105
Wilmington, NC 28405-2484

Mailing address

603 Chestnut St # A
Wilmington, NC 28401-4142

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20373 (NC)

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 1013600022

Martin L. Clark, LMT's National Provider Identifier is 1013600022, issued on May 26, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wilmington, NC. The record was last updated on May 26, 2023.