Individual provider · Type 1 NPI
Carol Clark, LMT
Massage Therapist · Moravia, NY
NPI number
1023971769
Active
Practice location
41 Aurora St
Moravia, NY 13118-3568
Other practice locations
- 148 Main St, Moravia, NY 13118 · (315) 730-3530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 030765 (NY) |
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.
Other massage therapist providers in Moravia
About NPI 1023971769
Carol Clark, LMT's National Provider Identifier is 1023971769, issued on Dec 9, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Moravia, NY. The record was last updated on Dec 9, 2025.