Individual provider · Type 1 NPI

Graeme Jessen Clark, LMT

Massage Therapist · Grants Pass, OR

NPI number 1790143576 Active

Practice location

226 NW F St
Grants Pass, OR 97526-2050

Call (541) 659-8032 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21958 (OR)

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 1790143576

Graeme Jessen Clark, LMT's National Provider Identifier is 1790143576, issued on Feb 8, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grants Pass, OR. The record was last updated on Feb 8, 2016.