Individual provider · Type 1 NPI

Alyssa Nanette Clark, L.M.T.

Massage Therapist · Louisville, KY

NPI number 1902233083 Active

Practice location

140 N 4th St, East Tower 17th Floor
Louisville, KY 40202-4227

Call (502) 587-7644 Map

Mailing address

1101 Tallow Ln
Louisville, KY 40214-5553

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XKY-4831 (KY)

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 1902233083

Alyssa Nanette Clark, L.M.T.'s National Provider Identifier is 1902233083, issued on Oct 3, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Louisville, KY. The record was last updated on Oct 3, 2013.