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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 33.025918 (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.