Leann R Clark LMT

NPI 1114245701 - Massage Therapist - 225700000X

NPI Details
NPI 1114245701
Gender Female
Enumeration Date 05/07/2010
Last Updated 05/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
216 W. MIDLAND AVENUE
WOODLAND PARK CO, 80863, US
Phone (719) 687-2599
Fax (719) 687-3812
Business Location
PO BOX 5796
WOODLAND PARK CO, 80866-5796, US
Phone (719) 687-2599
Fax (719) 687-3812
Toxanomy
Taxonomy Code 225700000X
License State Colorado
License Number 9128
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According to our database, Mrs. Leann R Clark LMT NPI is 1114245701, taxonomy code is 225700000X and license number is 9128, license state is located at Colorado. Leann R Clark LMT physically located at 216 W. Midland Avenue, Woodland Park CO, 80863. NPI Number Leann R Clark LMT has the Individual type.

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1114245701 NPI number is provided on an as is basis without warranty of any kind. 1114245701 is maintained by the National Plan & Provider Enumeration System. The contents of Leann R Clark LMT are for informational purposes only.