Individual provider · Type 1 NPI

Ian James Clark, CMT

Massage Therapist · San Juan Capistrano, CA

NPI number 1154048825 Active

Practice location

26340 Camino De Vis Apt M
San Juan Capistrano, CA 92675-5123

Call (818) 224-8574 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X59748 (CA)

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 1154048825

Ian James Clark, CMT's National Provider Identifier is 1154048825, issued on Oct 24, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Oct 24, 2022.