Individual provider · Type 1 NPI

Shannon L. Clark, LMT

Massage Therapist · Rio Rancho, NM

NPI number 1316240401 Active

Practice location

1117 Rio Rancho Dr SE Ste 6G
Rio Rancho, NM 87124-1859

Call (505) 891-1414 Map

Fax (505) 891-1444

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6379 (NM)

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.

4 other providers at this address

Other massage therapist providers in Rio Rancho

See all in Rio Rancho →

About NPI 1316240401

Shannon L. Clark, LMT's National Provider Identifier is 1316240401, issued on Dec 10, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rio Rancho, NM. The record was last updated on Dec 10, 2010.