Individual provider · Type 1 NPI
Theron A. Clarke
Massage Therapist · Laurelton, NY
NPI number
1609534718
Active
Practice location
13327 231st St
Laurelton, NY 11413-2121
Other practice locations
- 13327 231st St, Laurelton, NY 11413-2121 · (646) 725-9403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0274631 (NY) |
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.
Other massage therapist providers in Laurelton
About NPI 1609534718
Theron A. Clarke's National Provider Identifier is 1609534718, issued on Dec 6, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Laurelton, NY. The record was last updated on Dec 6, 2021.