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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 20373 (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.
Another provider at this address
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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.