Individual provider · Type 1 NPI

Kevin Clark

Massage Therapist · Philadelphia, PA

NPI number 1831997741 Active

Practice location

1315 Walnut St
Philadelphia, PA 19107-4719

Call (609) 707-6771 Map

Mailing address

1929 Spruce St Apt 3R
Philadelphia, PA 19103-5719

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1831997741

Kevin Clark's National Provider Identifier is 1831997741, issued on Mar 5, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 5, 2025.