Individual provider · Type 1 NPI

Michelle Annette Clark, LMP

Massage Therapist · Tacoma, WA

NPI number 1174995120 Active

Practice location

1935 S I St Apt A, Apt A
Tacoma, WA 98405-3879

Call (253) 273-9800 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60609392 (WA)

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 1174995120

Michelle Annette Clark, LMP's National Provider Identifier is 1174995120, issued on Oct 28, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tacoma, WA. The record was last updated on Oct 28, 2015.