Individual provider · Type 1 NPI

Clifford Warren Fulton I, L.M.T.

Massage Therapist · Clarksburg, WV

NPI number 1447408182 Active

Practice location

1200 West Virginia Ave
Clarksburg, WV 26301-1953

Mailing address

RR 4 Box 546
Salem, WV 26426-8910

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1447408182

Clifford Warren Fulton I, L.M.T.'s National Provider Identifier is 1447408182, issued on Sep 6, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clarksburg, WV. The record was last updated on Sep 6, 2008.