Individual provider · Type 1 NPI

Stacy L. Clark, LMT

Massage Therapist · Coral Springs, FL

NPI number 1114259637 Active

Practice location

6290 W Sample Rd
Coral Springs, FL 33067-3101

Call (954) 757-2939 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA48419 (FL)

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 1114259637

Stacy L. Clark, LMT's National Provider Identifier is 1114259637, issued on Feb 9, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coral Springs, FL. The record was last updated on Feb 9, 2010.