Individual provider · Type 1 NPI

Matthew Clark, LMT

Massage Therapist · Fort Lauderdale, FL

NPI number 1194594150 Active

Practice location

1721 SE 17th St Apt 530
Fort Lauderdale, FL 33316-3145

Call (770) 280-5971 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA104094 (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 1194594150

Matthew Clark, LMT's National Provider Identifier is 1194594150, issued on Jan 1, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 2, 2024.