Individual provider · Type 1 NPI

Shannon T. Clark, LMT

Massage Therapist · Macedonia, OH

NPI number 1912755018 Active

Practice location

8500 N Bedford Rd
Macedonia, OH 44056-1941

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33.025918 (OH)

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.

About NPI 1912755018

Shannon T. Clark, LMT's National Provider Identifier is 1912755018, issued on May 13, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Macedonia, OH. The record was last updated on May 13, 2024.