Individual provider · Type 1 NPI

Kelly Clark, LMT

Massage Therapist · Ann Arbor, MI

NPI number 1134966567 Active

Practice location

4488 Jackson Rd Ste 2A
Ann Arbor, MI 48103-1812

Call (734) 260-7235 Map

Mailing address

509 Little Lake Dr
Ann Arbor, MI 48103-6224

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501007777 (MI)

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 1134966567

Kelly Clark, LMT's National Provider Identifier is 1134966567, issued on Jul 12, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jul 12, 2024.