Individual provider · Type 1 NPI

Angella Clark, LMT

Massage Therapist · Plainfield, IL

NPI number 1700278447 Active

Practice location

23819 W Mill St, Suite 7
Plainfield, IL 60544-3457

Call (815) 408-0071 Map

Mailing address

1400 N Rock Run Dr, Apt. D2
Crest Hill, IL 60403-8322

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227005736 (IL)

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 1700278447

Angella Clark, LMT's National Provider Identifier is 1700278447, issued on Mar 3, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Plainfield, IL. The record was last updated on Mar 3, 2015.