Individual provider · Type 1 NPI

Clark Albert Heady, LMT

Massage Therapist · Watertown, NY

NPI number 1215534821 Active

Practice location

165 Mechanic St
Watertown, NY 13601-2677

Call (315) 778-1317 Map

Mailing address

615 Holcomb St Apt 13
Watertown, NY 13601-3973

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X029616 (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 1215534821

Clark Albert Heady, LMT's National Provider Identifier is 1215534821, issued on Oct 6, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Watertown, NY. The record was last updated on Oct 6, 2020.