Individual provider · Type 1 NPI

William O. Clark, LMT

Massage Therapist · Salt Lake City, UT

NPI number 1679355341 Active

Practice location

1174 E Graystone Way Ste 20G
Salt Lake City, UT 84106-2678

Call (801) 793-9435 Map

Mailing address

2979 W 3835 S
West Valley, UT 84119-4557

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9740409-4701 (UT)

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 1679355341

William O. Clark, LMT's National Provider Identifier is 1679355341, issued on Oct 18, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 18, 2023.