Timothy Albert Clark LMT

NPI 1013233477 - Massage Therapist - 225700000X

NPI Details
NPI 1013233477
Gender Male
Enumeration Date 04/10/2010
Last Updated 04/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2010 BONNYCASTLE AVE APT 1F
LOUISVILLE KY, 40205-1118, US
Phone (502) 459-1557
Fax
Business Location
2010 BONNYCASTLE AVE APT 1F
LOUISVILLE KY, 40205-1118, US
Phone (502) 459-1557
Fax
Toxanomy
Taxonomy Code 225700000X
License State Kentucky
License Number KY-2716
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According to our database, Mr. Timothy Albert Clark LMT NPI is 1013233477, taxonomy code is 225700000X and license number is KY-2716, license state is located at Kentucky. Timothy Albert Clark LMT physically located at 2010 Bonnycastle Ave Apt 1f, Louisville KY, 40205-1118. NPI Number Timothy Albert Clark LMT has the Individual type.

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1013233477 NPI number is provided on an as is basis without warranty of any kind. 1013233477 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Albert Clark LMT are for informational purposes only.