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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None 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.