Individual provider · Type 1 NPI
Jacklyn M. Clark, LMP
Massage Therapist · Tacoma, WA
NPI number
1316388630
Active
Practice location
7047 S D St
Tacoma, WA 98408-6131
Mailing address
20110 75th Avenue Ct E
Spanaway, WA 98387-3002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 60364416 (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.
2 other providers at this address
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About NPI 1316388630
Jacklyn M. Clark, LMP's National Provider Identifier is 1316388630, issued on Jul 15, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tacoma, WA. The record was last updated on Jul 15, 2013.