Individual provider · Type 1 NPI
Devan Clark, LMT
Specialist · Wasilla, AK
NPI number
1497202279
Active
Practice location
3540 N Snow Goose Dr
Wasilla, AK 99654-2505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 107485 (AK) |
| Specialist | 174400000X | MT-21190 (AZ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Charlotte Rachael Mahoy, LMTSpecialist Wasilla, AK NPI 1336599117
- Annelyssa Lee Massie, LMTSpecialist Wasilla, AK NPI 1407203276
- Victoria Hope BrownSpecialist Wasilla, AK NPI 1457804957
- Jeffrey L. Sponsler, MDSpecialist Wasilla, AK NPI 1538206164
About NPI 1497202279
Devan Clark, LMT's National Provider Identifier is 1497202279, issued on Sep 8, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wasilla, AK. The record was last updated on Sep 8, 2016.