Individual provider · Type 1 NPI

Susan M. Clark, LMT, MMT

Massage Therapist · Long Beach, NY

NPI number 1215057708 Active

Practice location

714 E Park Ave
Long Beach, NY 11561-2605

Call (516) 431-7972 Map

Mailing address

532 E Harrison St
Long Beach, NY 11561-2443

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X013274 (NY)

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 1215057708

Susan M. Clark, LMT, MMT's National Provider Identifier is 1215057708, issued on Mar 30, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Long Beach, NY. The record was last updated on Jul 8, 2007.