Individual provider · Type 1 NPI
Dale Clark, LMT, NCBTMB
Massage Therapist · Tucson, AZ
NPI number
1720400153
Active
Practice location
3411 S Camino Seco Unit 231
Tucson, AZ 85730-2815
Fax (520) 721-9945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-03646P (AZ) |
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 1720400153
Dale Clark, LMT, NCBTMB's National Provider Identifier is 1720400153, issued on Jan 21, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tucson, AZ. The record was last updated on Jan 21, 2014.